CIVIC Core Investigators - Center to Improve Veteran Involvement in Care (CIVIC)
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Center to Improve Veteran Involvement in Care (CIVIC)

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CIVIC Core Investigators

Steven K Dobscha, MD

Steven Dobscha, MD is CIVIC’s Director. His research focuses on topics highly relevant to the care of Veterans including suicide prevention, chronic pain, and patient-centered care. Dr. Dobscha has received prior HSR&D funding for studies of depression and chronic pain collaborative care, studies that examined care received in proximity to suicidal ideation and suicide, and a study of impacts of Veteran on-line access to mental health progress notes. He also partnered with the Technology and Telehealth (T2) group at Joint Base Lewis-McChord to examine effectiveness of a smartphone app in reducing suicidal thoughts, and recently developed and evaluated a program to train primary care clinicians to deliver lethal means safety messaging to at risk Veterans in primary care settings. Dr. Dobscha serves as Research Consultant for the VA Portland Health Care System Mental Health and Clinical Neuroscience Division, and has served on several HSR&D CDA Scientific Merit Review Boards and other national VA workgroups and committees. He is Professor of Psychiatry at Oregon Health & Science University.

You can contact Steven Dobscha by email at Steven.Dobscha@va.gov.

Advancing Suicide Prevention for Female Veterans (Co-Investigator)

The over-arching goal of this work is to inform gender-tailored suicide prevention approaches, using a large, national sample of female and male Veterans with recent non-fatal suicidal self-directed violence (SSV: fatal and non-fatal suicide attempts). We aim to develop and test explanatory models of female and male risk for a repeat SSV event over 12 months, and identify similarities and differences in patterns of healthcare utilization, coping strategies, and symptom change over time between female and male Veterans at risk for SSV.
Principal Investigator: Lauren Denneson
Grant ID: IIR 17-131

Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy (Co-Investigator)

The goal of this VA HSR&D career development award is to characterize pain treatment utilization in veterans with co-occurring substance use disorders and develop and test the preliminary effectiveness of a collaborative pain intervention for veterans with chronic pain receiving specialty treatment for alcohol and drug use disorders.
Principal Investigator: Travis Lovejoy
Grant ID: IIR 17-268

Consortium of Research (CORE): Suicide Prevention Research Impact Network (SPRINT) (Principal Investigator)

The mission of SPRINT is to accelerate health services research that will lead to improvements in care and result in reductions in suicide behaviors among Veterans. SPRINT members include health services suicide prevention researchers from around the country, VA operations partners, and other stakeholders. Three hubs will assist researchers in designing and conducting team science projects that address high priority topics.

Understanding Impact of VHA's New Suicidal Ideation Screening Initiative: Veteran's Perspective (Principal Investigator)

The primary goal of this study is to characterize Veteran experiences with VHA’s new SI screening process and the clinical evaluation that takes place in response to screen results. We will also examine the extent to which screening process variables are associated with mental health treatment utilization over 6 months.
Grant: VA HSR&D IIR

Examining the Effectiveness of an Adaptive Implementation Intervention to Improve Uptake of the VA Suicide Risk Identification Strategy (Co-Investigator)

The objective of this national quality improvement project is to develop an adaptive strategy to improve implementation of VA’s new suicide risk screening initiative (Risk ID) to fidelity.
Grant ID: VA QUERI Partnered Evaluation Initiative PEC 190-303

Impact of Prescription Opioid Dose Changes on Cannabis Use and Clinical Outcomes (Co-Investigator)

This is a national prospective cohort study examining changes in cannabis use following prescription opioid discontinuation and the impact of these changes on pain and quality of life.
Principal Investigator: Morasco
Grant ID: NIH National Institute on Drug Abuse 1R01DA048817


You can find a full list of publications at PubMed.

  • Luther SL, Finch DK, Bouayad L, McCart J, Han L, Dobscha SK, Skanderson M, Fodeh S, Hahm B, Lee A, Goulet J, Brandt CA, Kerns RD. Measuring Pain Care Quality (PCQ) in the Veterans Health Administration (VHA) Primary Care Setting. In press, Pain 2021
  • Clark KD, Newell S, MPH, Kenyon EA, Karras E, Simonetti JA, Gerrity M, Dobscha SK. Firearms Storage Safety Discussions in VA Primary Care: Staff Perspectives. In press, General Hospital Psychiatry, 2021
  • Nugent SM, Lovejoy TI, Shull S, Dobscha SK, Morasco BJ. Associations of pain numeric rating scale scores collected during usual care with research administered patient reported pain outcomes. Pain Medicine, pnab110, https://doi.org/10.1093/pm/pnab110 (online ahead of print, 2021).
  • Teo AR, Metcalf EE, Strange W, Call AA, Tuepker A, Dobscha SK, Kaboli PJ. Enhancing Usability of Appointment Reminders: Qualitative Interviews of Patients Receiving Care in the Veterans Health Administration. J Gen Intern Med. 2021.36(1):121-8. DOI: 10.1007/s11606-020-06183-5. PMID: 32909229
  • Christensen V, Clark K, Tallett S, Kenyon EA, Dobscha SK. Integration of Patient and Clinician Narratives into Systematic Reviews: An Applied Proof of Concept". In press, JCTS, 2021

 

Benjamin Morasco, PHD

Benjamin Morasco, PhD is CIVIC's Associate Director, a staff psychologist at the VA Portland Health Care System, and Professor in the Department of Psychiatry at Oregon Health and Science University. His primary research focus is on improving the safety and effectiveness of treatment for chronic pain. Dr. Morasco’s currently funded projects are examining outcomes of cannabis use for pain, strategies to change prescription opioid use, and randomized controlled trials examining the effectiveness of different multidisciplinary treatments for chronic pain. He also collaborates on other projects examining strategies for improving pain care for veterans living in rural settings, treating pain in patients with substance use disorders, and decision support to improve safety in pain management. He serves on local and national pain management workgroups, is a supervisor with the clinical psychology training program at the VA Portland Health Care System, and is Co-Director for research training in the MIRECC post-doctoral fellowship. Within CIVIC, Dr. Morasco also served as a research mentor for other investigators with career development awards. 

You can contact Benjamin Morasco by email at Benjamin.Morasco@va.gov.

 

Impact of Prescription Opioid Dose Changes on Cannabis Use and Clinical Outcomes (Principal Investigator)

This is a national prospective cohort study examining changes in cannabis use following prescription opioid discontinuation and the impact of these changes on pain and quality of life.
Grant ID: NIH National Institute on Drug Abuse R01DA048817

Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans (Site Principal Investigator/Co-Investigator)

The goal is to conduct a pragmatic implementation-effectiveness trial in which we will develop, pilot and implement two care delivery approaches for over 600 veterans with moderate to severe chronic pain who will be randomized to receive either: (1) an intensive Whole Health Team (WHT) approach versus (2) a less intensive, usual care Primary Care Group Education (PC-GE).
Principal Investigator: Karen Seal and Becker
Grant ID: 1UG3AT009765

Comparative effectiveness of patient-centered strategies to improve pain management and opioid safety for veterans (Site Principal Investigator/Co-Investigator)

This pragmatic clinical trial will compare two strategies to improve pain and reduce opioid use.
Principal Investigator: Krebs
Grant ID: OPD-1511-33052

Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy (Co-Investigator)

The goal of this VA HSR&D career development award is to characterize pain treatment utilization in veterans with co-occurring substance use disorders and develop and test the preliminary effectiveness of a collaborative pain intervention for veterans with chronic pain receiving specialty treatment for alcohol and drug use disorders.
Principal Investigator: Travis Lovejoy
Grant ID: IIR 17-268

Risk for Opioid Abuse and Misuse in Adolescence (Co-Investigator)

This project will examine trajectories of pain and opioid use over time in adolescents who receive opioid prescriptions in outpatient medical settings.
Principal Investigator: Wilson and Feldstein-Ewing
Grant ID: R01DA044778

Living Systematic Review on Plant-based Treatment for Chronic Pain (Co-Investigator)

This project will create a Living systematic Review (LSR) on the use of plant-based compounds to treat chronic pain.
Principal Investigator: McDonagh
Grant ID: Agency for Healthcare Research and Quality 042-574-355

Pain/Opioid Consortium for Research (CORE) (Co-Investigator)

The goal of the Pain/Opioid CORE is to construct a Veterans Health Administration (VHA)-centric pain network, concentrating existing pain and opioid expertise and VHA system knowledge to advance care and create system impact. The Pain/Opioid CORE will function as a means to identify gaps and priorities, direct resources and effort to high-impact areas, and create a network that will support communication and high-quality collaboration among VHA investigators.
Principal Investigator: Heapy, Becker, Krebs
Grant ID: VA HSRD SDR

Expanding acces to opioid use disorder treatment with buprenorphine in rural primary care settings (Mentor)

This is a career development award for Dr. Jessica Wyse to develop research expertise in expanding access to evidence-based addiction treatment in rural primary care.
Principal Investigator: Jessica Wyse, PhD
Grant ID: VA HSR&D HX003007

A Sleep Intervention to Improve Rehabilitation in Veterans with Chronic mTBI (Mentor)

This randomized controlled clinical trial aims to use morning bright light therapy to improve sleep-wake disturbances and therefore ameliorate chronic pain and improve quality of life in veterans with chronic mTBI.
Principal Investigator: Elliott
Grant ID: VA RR&D IK2RX002947

Survivors of Head and Neck Cancer: Optimizing Pain Management (Co-Mentor)

The overall goal of this project is to better understand the pain management practices and preferences among survivors of head and neck cancer. This will be achieved through three interrelated studies that will help us understand the unique pain management needs of survivors of head and neck cancer to provide an adapted pain management telehealth intervention.
Principal Investigator: Shannon Nugent, PhD
Grant ID: 132817 MSRG 18-216-01-CPHPS

Video-Telecare Collaborative Pain Management to Improve Function and Reduce Opioid Risk in Patients with End Stage Renal Disease Receiving Hemodialysis (Co-Investigator)

The goal is to conduct a multi-site RCT of different strategies for pain among patients with end stage renal disease.
Principal Investigator: Becker
Grant ID: NIH U01DK123817

Developing Cannabis Use Outcomes Survey with Medical Cannabis Consumers (Principal Investigator)

The existing measures for assessing outcomes from cannabis use have primarily focused on identifying cannabis use disorder (CUD) in recreational consumers. For example, several outcome measures have been developed by adapting alcohol-related problem measures for cannabis consumers,1,2,3 while others have been developed with populations specifically seeking treatment for CUD.2,4 Others have been developed with majority youth populations (< 18 years old).5 The generalizability of these measures may be limited by how and when they were developed and validated, and they may not accurately represent the experiences of people who use cannabis for physical and mental health symptom management or to those with a long history of cannabis use. Furthermore, these measures were developed prior to the increasingly widespread legalization of cannabis products throughout the United States. The proposed project aims to move towards more equitable survey development and produce a cannabis use outcomes measure that is more relevant to patients and clinicians.
Grant Type: SWIFT

Systematically Testing the Evidence on Marijuana (STEM) (Co-Investigator)

To conduct living systematic reviews related to cannabis for various health conditions and to develop clinician education materials based on the latest science.
Principal Investigator: Devan Kansagara
Grant ID: ORH-VRHRC-PDX-FY20


You can find a full list of publications at PubMed.

  • Cheng, Z.H., Lozier, C, Lewis, M., O’Neil, M.E., Luoma, J., & Morasco, B.J. (In press). Investigating the role of psychological inflexibility, mindfulness, and self-compassion in PTSD. Journal of Contextual Behavioral Science
  • Nugent, S.M., Morasco, B.J., Handley, R., Clayburgh, D., Hooker, E.R., Ganzini, L., Knight, S.J., Chen, J.I., Sullivan, D.R., & Slatore, C.G. (In press). Risk of suicidal self-directed violence among survivors of head and neck cancer: A retrospective cohort analysis. JAMA Otolaryngology-Head & Neck Surgery
  • Merlin, J.S., Althouse, A., Feldman, R., Arnsten, J.H., Bulls, H.W., Liebschutz, J.M ., Nugent, S.M., Orris, S.R., Rohac, R., Starrels, J.L., Morasco, B.J., & Kansagara, D. (In press). Analysis of state cannabis laws and dispensary staff recommendations to adults purchasing medical cannabis. JAMA Network Open
  • Wyse, J., Morasco, B.J., Dougherty, J., Edwards, B., Kansagara, D., Mackey, K., Williams, B., Lindner, S., Gordon, A., Korthuis, P.T., Herreid-O’Neil, A., Tuepker, A., Paynter, R., & Lovejoy, T.I. (In press). Adjunct interventions to standard medical management of buprenorphine in outpatient settings: A systematic review of the evidence. Drug and Alcohol Dependence
  • Nugent, S.M., Lovejoy, T.I., Shull, S., Dobscha, S.K., & Morasco, B.J. (In press). Associations of pain numeric rating scale scores collected during usual care with patient reported outcomes: Need for enhanced assessment. Pain Medicine

 

Christopher Slatore, MD, MS

Christopher Slatore, MD, MS is CIVIC's Director of Research Education, Co-Director of the CIVIC HSR&D Advanced Fellowship with Kathleen Carlson, and Professor at Oregon Health & Science University. Dr. Slatore completed his HSR&D CDA in 2015, which was a mixed-methods study of the relationship between communication strategies and patient-centered outcomes among patients with pulmonary nodules. He published nine journal articles directly related to this project. Other ongoing projects focus on the prevention, detection, treatment, and healthcare delivery for patients with tobacco-related lung diseases, chiefly lung cancer and chronic obstructive pulmonary disease (COPD). His research aims to improve patient outcomes and to develop innovative approaches to treatment in these areas. Dr. Slatore is or has been funded by the Radiation Oncology Institute, VA, American Cancer Society, and the Knight Cancer Institute to evaluate patient-centered outcomes for patients with and at risk for lung cancer. Clinically, he is helps lead several local and national programs regarding lung cancer screening and pulmonary nodule surveillance. Dr. Slatore's work has been substantially supported by our Center, including grant submission support and assistance from our statistician and data analyst.
Dr. Slatore serves as a mentor to Liana Schweiger, MD, one of CIVIC's post-doctoral fellows.

You can contact Christopher Slatore by email at Christopher.Slatore@va.gov.

Teachable Moment to Opt-Out of Tobacco (Team OUT): A Stepped Wedge Cluster Randomized Trial (Principal Investigator)

The design and evaluation of a smoking cessation intervention using interactive voice response (IVR) technology to connect smokers to existing cessation services.
Grant: VA HSR&D IIR

Pragmatic Trial of More versus Less Intensive Strategies for Active Surveillance of Patients with Small Pulmonary Nodules (Co-Principal Investigator)

The goal of this study is to compare two protocols for CT surveillance, both of which are supported by existing guidelines from professional societies and are consistent with current standards of care.
Principal Investigator: Christopher Slatore and Michael K Gould
Grant ID: PCS-1403-12653

Patient-Centered Decision Support for Veterans Making Choices About Where to Get Their Health Care: "Should I Stay or Should I Go?" (Co-Principal Investigator)

The goal of this study is to evaluate how Veterans to make decisions regarding receiving VHA vs. non-VHA care.
Principal Investigator: Slatore and Hynes
Grant ID: VA HSR&D RIVR 19-481

Improving Decision Making in All Stage Lung Cancer (I DESCide): A Conversation Tool Among Patients Making Treatment Decisions (Co-Investigator)

The purpose of this randomized control trial is to test the effectiveness of a decision aid among patients making lung cancer treatment-related decisions in clinical settings.
Principal Investigator: Sullivan
Grant ID: Medical Research Foundation New Investigator Grant

Precision screening for lung cancer: importance of comorbid conditions to clinical practice and policy (Co-Investigator)

The goal of this study is to precisely characterize this vulnerable subpopulation with high comorbidity burden, quantifying for them the benefits and harms of LCS to enable more informed decision-making by patients contemplating LCS.
Principal Investigator: Braithwaithe
Grant ID: NIH R01 CA249506

Quantifying and improving radiotherapy outcomes among Veterans (Mentor)

This proposal is a mentored VA Career Development Award to investigate genetic risk factors of radiation-induced secondary malignancy and second cancers more generally.
Principal Investigator: Thompson
Grant ID: 1 IK2 CX002049-01

Optimizing Critical Care for Patients with Acute Respiratory Failure: A Mixed-Methods Study (Mentor)

The goal of this study is to investigate how the organizational characteristics and processes of care at Emergency Departments and Intensive Care Units impact the care of patients with diagnoses common in the ICU. We compare outcomes at high-acuity and low-acuity hospitals.
Principal Investigator: Kelly Vranas
Grant ID: VA HSR&D CDA-2 18-191

Prioritization of Cancer Sites for Novel Screening Technologies

The goal of this project is to develop a population modeling framework for prioritizing cancer sites for novel early detection efforts applicable to three solid lethal cancer sites: lung, ovarian, and pancreatic cancers.
Principal Investigator: Gogebakan
Grant ID: OHSU CEDAR FULL8140929

Longitudinal Health-related Quality of Life among Individuals Considering Treatment for Stage I Non-Small-Cell Lung Cancer (Mentor)

The overall goal of this project is to better understand the pain management practices and preferences among survivors of head and neck cancer.
Principal Investigator: Shannon Nugent
Grant ID: MSRG-18-216-01-CPHPS


You can find a full list of publications at PubMed.

  • Khan AM, McGrath LB, Ramsey K, Agarwal A, Slatore CG, Broberg CS. Distance to care, rural dwelling status, and patterns of care utilization in adult congenital heart disease. Pediatric Cardiology. In press
  • Slatore CG, Golden SE, Thomas T, Patzel M, Bumatay S, Shannon J, Davis M. Practices of primary care providers regarding performing low-dose computed tomography studies for lung cancer screening. (Research Letter) CHEST. In press
  • Nugent SM, Morasco BJ, Handley R, Clayburgh D, Hooker ER, Ganzini L, Knight SJ, Chen JI, Sullivan DR, Slatore CG. Risk of suicidal self-directed violence among survivors of head and neck cancer: a retrospective cohort analysis. JAMA ENT. In press
  • Vranas KC, Plinke W, Bourne D, Kansagara D, Lee RY, Kross EK, Slatore CG, Sullivan DR. The influence of POLST on treatment intensity and POLST-concordant care at the end of life: a systematic review. J. Am Ger Soc. In press
  • Vranas KC, Golden SE, Mathews KS, Schutz A, Valley TS, Duggal A, Seitz KP, Chang SY, Nugent S, Slatore CG, Sullivan DR, Hough CL. “The Influence of the COVID-19 Pandemic on ICU Organization, Care Processes, and Frontline Clinician Experiences: A Qualitative Study. CHEST. In press

 

Jennifer Barton MD, MCR
Jennifer Barton MD, MCR

Jennifer L. Barton, MD, MCR is the Rheumatology Section Chief at the VA Portland Health Care System and Associate Professor of Medicine at Oregon Health & Science University. Her research focuses on patient-clinician communication, shared decision making, and the rheumatic diseases. She is also co-lead of the VISN 20 VA Rheumatology ECHO which began in 2019.

Dr. Barton has received a K23 award from the NIH to examine patient-clinician goal concordance in rheumatoid arthritis. Dr. Barton completed fellowship at University of California, San Francisco, and was an assistant professor at UCSF, where she received a career development award from the American College of Rheumatology to study patient-physician discordance around assessment of disease severity in rheumatoid arthritis, and led the development of a low literacy medication summary guide and decision aid tool for vulnerable populations with RA.

Dr. Barton is currently a co-investigator on three CIVIC projects: "Listening to Gulf War Veterans: A Qualitative Inquiry into the Health Experience and Treatment of those with Chronic Multisymptom Illness" (VA HSR&D grant I01 HX002148-01A@; PI: Helfand); "Patient-Centered Decision Support for Veterans Making Choices About Where to Get Their Health Care: 'Should I Stay or Should I Go?'" (VA HSR&D Research to Impact for Veterans grant; PI: Slatore); and "Adapting Caring Contacts to Counteract Adverse Effects of Social Distancing during COVID-19" (HSR&D grant C19 20-216; PI: Teo).

Implementation of shared decision making in rheumatoid arthritis: A stepped wedge, cluster-randomized trial (Principal Investigator)

The purpose of this project is to evaluate the effectiveness of a multi-component shared decision making intervention on RA disease activity, adherence to RA medications and patient knowledge of RA.
Grant ID: 1 I01 HX003260-01A2

Incorporating PRO Data Into RA Clinical Encounters Using Health-IT (PACT) (Consultant)

This study aims to develop scalable health IT interventions to fill the current gap in use of PRO data in practice, with the goal of improving outcomes for the 1.3 million Americans with RA.
Principal Investigator: Schmajuk
Grant ID: R01 HS025405

Listening to Gulf War Veterans: A Qualitative Inquiry into the Health Experience and Treatment of those with Chronic Multisymptom Illness (Co-Investigator)

The overarching goal is to create a comprehensive repository of qualitative patient interviews about experiences of Gulf War-related, chronic, multisymptom illness that can be used to motivate system change; inform research, clinical practice, and VA policy; and provide an ongoing resource for Veterans, caregivers, researchers, clinicians, and VA system leaders.
Principal Investigator: Mark Helfand
Grant ID: I01 HX002148-01A2

Patient-Centered Decision Support for Veterans Making Choices About Where to Get Their Health Care: "Should I Stay or Should I Go?" (Co-PI)

The goal of this Research to Impact for Veterans proposal is to increase the ability of patients to make informed decisions that incorporate their individual values and preferences about the potential benefits, harms, and burdens of choosing between direct VA care and community care by creating and testing feasible, readily-implementable decision support tools for Veterans guided by theoretic models of patient-centered communication and shared decision-making.
Principal Investigator: Christopher Slatore
Grant ID: HSR&D Research to Impact for Veterans


You can find a full list of publications at PubMed.

  • Barton JL, Markwardt S, Niederhausen M, Schue A, Dougherty J, Katz P, Saha S, Yelin E. Are We on the Same Page?: A Cross-Sectional Study of Patient-Clinician Goal Concordance in Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2021 Sep 27. doi: 10.1002/acr.24794. Epub ahead of print. PMID: 34569172
  • Subash M*, Liu LH*, DeQuattro K, Choden S, Jacobsohn L, Katz P, Bajaj P, Barton JL et al. The Development of the Rheumatology Informatics System for Effectiveness Learning Collaborative for Improving Patient Reported Outcome Collection and Patient-Centered Communication in Adult Rheumatology. ACR Open Rheumatol. 2021 Oct;3(10):690-698. doi: 10.1002/acr2.11310. Epub 2021 Jul 20. PMID: 34288595
  • Petkovic J, Umaefulam V, Wattiaux A, Bartels C, Barnabe C, Greer-Smith R, Hofstetter C, Maxwell L, Shea B, Barton J, Lee AYS, Humphreys J, Beaton D, Tugwell P. Development of an extension of the OMERACT Summary of Measurement Properties table to capture equity considerations: SOMP-Equity. Semin Arthritis Rheum. 2021 Sep 27:S0049-0172(21)00185-2. doi: 10.1016/j.semarthrit.2021.09.005. Epub ahead of print. PMID: 34625296
  • Kahler J, Mastarone G, Matsumoto R, ZuZero D, Dougherty J, Barton JL. “It may help you to know. . .”: The early phase qualitative development of a rheumatoid arthritis goal elicitation tool. J Rheumatol. 2021 Jul 1:jrheum.201615. doi: 10.3899/jrheum.201615. Epub ahead of print. PMID: 34210836
  • Fraenkel L, Bathon J, England B, St Clair EW, Arayssi T, Carandang K, Deane KD, Genovese M, Huston K, Kerr G, Kremer J, Nakamura M, Russell L, Singh J, Smith B, Sparks J, Venkatachalam S, Weinblatt M, Al-Gibbawi M, Baker JF, Barbour K, Barton J et al. 2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2021 Jun 8. Doi: 10.1002/acr.24596. Epub ahead of print. PMID: 34101387
  • Toupin-April K, Décary S, de Wit M, Meara A, Barton JL, et al. Endorsement of the OMERACT core domain set for shared decision making interventions in rheumatology trials: Results from a multi-stepped consensus-building approach. Semin Arthritis Rheum. 2021 Apr 6:S0049-0172(21)00049-4. doi: 10.1016/j.semarthrit.2021.03.017. Epub ahead of print. PMID: 33892937
  • Matsumoto RA, Barton JL. Telerheumatology: before, during, and after a global pandemic. Curr Opin Rheumatol. 2021 May 1;33(3):262-269. doi: 10.1097/BOR.0000000000000790. PMID: 33741808

 

Eilis Boudreau MD, PhD

Eilis Boudreau MD, PhD is a CIVIC Investigator and Professor of Neurology, and Medical Informatics and Clinical Epidemiology at Oregon Health & Sciences University. She is the VA-site PI for a multi-site, HSR&D-funded study comparing the efficacy of different clinical pathways for Veterans referred for sleep apnea care, and for evaluation of the negative predictive value of Home Sleep Apnea testing. She also heads up the VA Portland participation in the VA Enterprise-Wise TeleSleep program designed to improve access and quality of sleep care to rurally located Veterans. Dr. Boudreau's research focuses on improving data capture at the point of clinical care from the Electronic Health Record (EHR), data harmonization across EHR and research studies, with an interest in developing computational phenotypes.

Improving Safety in the Medical Certification of Civilian Aviators Through Enhanced Data Capture and Standardization (Co-Principal Investigator)

Grant focus is on reducing civilian aviation accidents by improving data collection and standardization of information about mental health, cognitive, and sleep issues that impact civilian aviators.
Principal Investigator: Eilis Boudreau and A. Wagstaff
Grant Source: University of Oslo, Institute of Health and Society and Institute of Aviation Medicine

Sleep Data Analytics Service Market Research (Co-Investigator)

To work on formative and summative evaluations of VA e-consultation, telehealth and virtual care models related to sleep apnea and insomnia.
Principal Investigator: Totten
Grant ID: VA260-17-P-2475

Improving Access to Sleep Apnea Care: A Pragmatic Study of New Consultation Models (Site Principal Investigator)

The goal of this project is to compare a health care delivery model, Direct Referral for Apnea Monitoring (DREAM), with initial in-person (IP) clinic encounters for Veterans at risk for obstructive sleep apnea (OSA). The central hypothesis of the proposed research is that the DREAM clinical pathway can improve Veterans' access to sleep services by reducing wait times for home sleep apnea testing (HSAT) and OSA treatment while maintaining prognostic accuracy that is comparable to IP assessments.
Principal Investigator: K. Sarmiento
Grant Source: VHA Health Services Research and Development Service

Pathway to Partnership in Sleep Telehealth (Site Principal Investigator)

Facilitate implementation of sleep telehealth services at VA Portland Health Care System.
Principal Investigator: K. Sarmiento
Grant Source: VHA Office of Rural Health


You can find a full list of publications at PubMed.

  • Salinsky M, Evrard C, Joos S, Boudreau E. Utility of mental health and sleep screening questionnaires for patients admitted to a seizure monitoring unit. Epilepsy Behav. 2021 Oct;123:108237. doi: 10.1016/j.yebeh.2021.108237. Epub 2021 Aug 7. PubMed PMID: 34375800. (epilepsy)
  • Sarmiento KF, Boudreau EA, Smith CJ, Kaul B, Johnson N, Folmer RL. Effects of computer-based documentation procedures on healthcare workload assessment and resource allocation: An example from VA sleep medicine programs. Federal Practitioner, 2020:35(9):2593-2599.
  • Folmer RL, Smith CJ, Boudreau EA, Hickock A, Totten AM, Kaul B, Stepnowsky CJ, Whooley MA, Sarmiento KF. Prevalence and Management of Sleep Disorders in the Veterans Health Administration. Sleep Medicine Reviews, July 2020:54:101358.

 

Kathleen Carlson, MS, PHD

Kathleen Carlson, MS, PhD is a CIVIC Core Investigator and Associate Professor of Epidemiology at the Oregon Health and Science University (OHSU) School of Public Health. Dr. Carlson trained in injury epidemiology and health services research and has been conducting VA research since 2006. She participated in the VA Advanced Fellowship in Health Services Research at the Minneapolis VA Healthcare System from 2006-2008 and completed a VA HSR&D Career Development Award from 2010-2015. Dr. Carlson's work focuses on the co-occurrence of physical and psychological trauma among returning Veterans and their post-deployment reintegration into families, work, and community; she is currently examining employment outcomes and vocational services for Veterans diagnosed with traumatic brain injury (TBI). Her research also focuses on the epidemiology, prevention, and control of TBI and other traumatic injuries; opioid and other medication safety; firearm-related injuries; and epidemiology of, and clinical services for, tinnitus. Dr. Carlson teaches Masters- and Doctoral-level epidemiology students in the School of Public Health. She serves as Co-Director of the CIVIC HSR&D advanced fellowship with Dr. Slatore, leading the training and development of social scientist fellows.
Dr. Carlson serves as a mentor for CIVIC's post-doctoral fellows. She is a secondary mentor to Haley Holmer, MPH, PhD and Traben Pleasant, MSc, PhD. She also mentors Julie Kahler, PhD.

You can contact Kathleen Carlson by email at Kathleen.Carlson@va.gov.

Prevention of Firearm Injuries among Rural Veterans in the US (Principal Investigator)

Grant ID: VRHRC 0160RH

Community Care Utilization among Post-9/11 Veterans with Traumatic Brain Injury (Principal Investigator)

Grant ID: HSR&D I01 HX003088

Pharmacologic and Nonpharmacologic Treatments of Posttraumatic Stress Disorder (Co-Investigator)

The overarching purpose of this project is to provide updates and expansions to a large, systematic review database of published randomized controlled trials on pharmacologic and non-pharmacologic treatments for post-traumatic stress disorder.
Principal Investigator: Maya O'Neil
Grant ID: RFTO#22

Long-Term Impact of Military-Relevant Brain Injury Consortium (LIMBIC): Longitudinal Study (Site Principal Investigator)

The overall goal of LIMBIC is to identify and longitudinally follow Veterans with TBI to examine prevalence of, and risk factors for, decline over time consistent with neurodegeneration.
Principal Investigator: Walker; Cifu
Grant ID: CSR&D I01 CX-002097-001

Firearm Injury Surveillance through Emergency Rooms (FASTER) (Site Principal Investigator)

Principal Investigator: Laura Chisholm
Grant ID: CDC/NCIPC NU17CE010029

Long-term Effects of Noise and Other Explosures on Audtory Functioning in Post-9/11 Veterans: NOISE Study 3.0 (Co-Investigator)

The purpose of this continuation study would allow the team to continue to collect data on the long-term effects of military and non-military exposures on auditory function, gathering up to 11 years of longitudinal data on the currently enrolled cohort of study participants. Continued funding would provide the unique opportunity to obtain evidence on whether military noise exposures can result in delayed-onset hearing loss and/or tinnitus in Veterans.
Principal Investigator: Henry
Grant ID: RX003701

Suicide Prevention Trials Database (Co-Investigator)

The goal of this project is to establish a repository of study-level data from all published trials in suicide prevention, using systematic review methods to abstract and harmonize data across studies.
Principal Investigator: Lauren Denneson and Maya O'Neil
Grant ID: VA CSR&D SDR

Advancing Suicide Prevention for Female Veterans (Co-Investigator)

The over-arching goal of this work is to inform gender-tailored suicide prevention approaches, using a large, national sample of female and male Veterans with recent non-fatal suicidal self-directed violence (SSV: fatal and non-fatal suicide attempts). We aim to develop and test explanatory models of female and male risk for a repeat SSV event over 12 months, and identify similarities and differences in patterns of healthcare utilization, coping strategies, and symptom change over time between female and male Veterans at risk for SSV.
Principal Investigator: Lauren Denneson
Grant ID: IIR 17-131

Effects of Military Noise Exposure on Auditory Function in Service Members and Recently Discharged Veterans (Co-Investigator)

This proposal serves as a continuation to study # PR121146. The objective of this longitudinal epidemiologic study is to estimate and describe the prevalence, etiology, and effects of early-onset tinnitus and hearing loss among newly-discharged military Veterans.
Principal Investigator: James Henry
Grant ID: JW160036

Improving Access to Supported Employment for Veterans with Polytrauma/Traumatic Brain Injury (Co-Investigator)

The purpose of this study is to increase access to Supported Employment (SE) among OEF/OIF/OND Veterans with polytrauma/traumatic brain injury by identifying actionable barriers and facilitators to SE referral, developing and implementing a customizable intervention package, and conducting preliminary assessment of its effectiveness at local VA sites that are below SE capacity.
Principal Investigator: Terri K Pogoda
Grant ID: I01 HX002162-01A1

Understanding Impact of VHA's New Suicidal Ideation Screening Initiative: Veteran's Perspective (Co-Investigator)

This project evaluates the effectiveness of VA’s newly implemented suicide screening program, Risk-ID.
Principal Investigator: Steven Dobscha
Grant ID: HSR&D I01 HX002987/19-215

Telephone Delivery of Cognitively Augmented Behavioral Activation (CABA) for Veterans with Traumatic Brain Injury (TBI) (Co-Investigator)

The major goals of this study are to develop an accessible, acceptable, and efficacious telephone intervention that can be broadly disseminated to address the complex rehabilitation needs within the population of Veterans with a history of TBI, to reduce negative cognitive and psychiatric health outcomes for Veterans with a history of TBI, and to promote personal resilience.
Principal Investigator: Megan Callahan
Grant ID: DoD CDMRP IIR W81XWH1910747

Spatiotemporal Clustering of Rural Veteran Suicides (Co-Investigator)


Principal Investigator: Lauren Denneson, MS, PhD
Grant ID: VRHRC 15526RH

FITBIR: Accelerating Synthesis of TBI Research Using Novel Methods (FAST RUN Methods) (Co-Investigator)

Principal Investigator: Maya O'Neil
Grant ID: DoD/CDMRP W81XWH2010564

Improving Suicide Prediction Using NLP-Extracted Social Determinants of Health (Co-Investigator)

Principal Investigator: Hong Yu
Grant ID: NIH/NIMH R01MH125027

VA-DoD Long-term Impact of Military-Relevant Brain Injury Consortium (LIMBIC): Phenotypes of Persistent Comorbidity in Post-9/11 Era Veterans with mTBI (Co-Investigator)

Principal Investigator: Mary Jo Pugh
Grant ID: RR&D I01 RX003443-01


You can find a full list of publications at PubMed.

  • Ashraf AJ, Gilbert TA, Holmer HK, Cook LJ, Carlson KF. Receipt of Concurrent VA and Non-VA Opioid and Sedative-Hypnotic Prescriptions among Post-9/11 Veterans with Traumatic Brain Injury. Journal of Head Trauma Rehabilitation; 36(5): 364-373, 2021
  • Reavis KM, Snowden JM, Henry JA, Gallun FJ, Lewis MS, Carlson KF. Blast Exposure and Self-reported Hearing Difficulty in Service Members and Veterans who have Normal Pure-Tone Hearing Sensitivity: The Mediating Role of Post-traumatic Stress Disorder. Journal of Speech, Language, and Hearing Research; 2021 Sept 28; online ahead of print
  • Holmer HK, Gilbert TA, Ashraf AJ, O’Neil ME, Carlson KF. Receipt of Opioid and Sedative-Hypnotic Prescriptions among Post-9/11 Veteran VA Users with TBI, 2012-2019. Journal of Head Trauma Rehabilitation; 36(5): 354-363, 2021.
  • Pogoda TK, Dillahunt-Aspillaga CJ, Keleher VA, Might R, Marchany KE, Yee J, Zogas A, Carlson KF. Implementing Supported Employment for Veterans with Traumatic Brain Injury through Remote Counseling During COVID-19. Journal of Rehabilitation; 87(1): 64-70, 2021

 

Jason I Chen, PHD

Jason I. Chen, PhD is a CIVIC Core Investigator, Assistant Professor of Psychiatry and Assistant Program Director for the Clinical Psychology PhD Program at OHSU. He received his PhD in Clinical Psychology from the University of South Florida in 2016 where he focused on mechanisms of suicide risk and the implementation and dissemination of suicide prevention programming. Dr. Chen completed his APA accredited internship at the VA Eastern Colorado Health Care System and a postdoctoral fellowship in health services research at CIVIC. Dr. Chen is currently funded on a 5-year, VA HSR&D Career Development Award titled, "Enhancing Social Connectedness Among Veterans at High Risk for Suicide through Community Engagement," (CDA 18-185; IK2HX002787). His research lab, the Connecting Communities for Suicide Prevention Lab (CCSP), studies suicide prevention for high-risk populations, with a focus on military veterans, community-based approaches, and help-seeking processes. Dr. Chen also serves on the OHSU Zero Suicide Initiative Committee where he provides technical support and training for OHSU staff and community partners.

You can contact Jason Chen by email at Jason.Chen1@va.gov.

Enhancing Social Connectedness Among Veterans at High Risk for Suicide through Community Engagement (Principal Investigator)

The current project proposes to develop and pilot a multicomponent, peer-support facilitated intervention for increasing social connectedness through participation in community activities among Veterans at elevated risk of death by suicide via the following research aims: 1) Identify Veterans’ current behaviors, needs, and preferences for community engagement following psychiatric hospitalization, 2) Identify VHA staff and community stakeholder perceptions and perceived needs related to Veteran community engagement following psychiatric hospitalization, and 3) Develop and pilot a multicomponent, peer-support facilitated intervention for increasing social connectedness among Veterans at elevated risk of death by suicide. Expected outcomes from these aims include clinical toolkits for VA and community stakeholders, academic manuscripts and presentations, and two HSR&D IIR submissions over the course of the CDA award period.
Grant ID:1IK2HX002787-01/CDA 18-185

Extending the Safety Net: Reaching Veterans at High Risk for Suicide Who Disengage from Care (Principal Investigator)

Planning grant for projects addressing current Veteran suicide prevention priorities to support the development of high impact grant proposals for decreasing Veteran suicide.
Grant ID: HSR&D SPRINT

Spatiotemporal Clustering of Rural Veteran Suicides (Co-Investigator)

This mixed-methods project aims to examine the spatiotemporal community factors associated with suicide clusters among Veterans in rural areas nationally, towards developing prevention efforts tailored for high-risk rural communities.
Principal Investigator: Lauren Denneson
Grant ID: VRHRC-PDX-FY21-3

VA Long Term Outcomes from COVID Study (Co-Investigator)

The goal of this collaborative project is to evaluate the long-term physical health, mental health, and health utilizations impacts among Veterans who have recovered from COVID-19.
Principal Investigator: Hynes
Grant ID: C19 21-279

You can find a full list of publications at PubMed.

  • Rehder, K., Lusk, J., & Chen, J. I. (2021). Deaths of Despair: Conceptual and clinical implications. Cognitive and Behavioral Practice, 28 (1), 40-52. doi: 10.1016/j.cbpra.2019.10.002
  • Bowersox, N. W., Jagusch, J., Garlick, J., Chen, J. I., & Pfeiffer, P. N. (2021). Peer-based interventions targeting suicide prevention: A scoping review. American Journal of Community Psychology, 68(1-2), 232-248. doi: 10.1002/ajcp.12510
  • Chen, J. I., Cameron, D. C., Laliberte, A. Z., Hooker, E. R., Niederhausen, M., & Denneson, L. M. (2021). Assessment of suicidal intent in self-directed violence and subsequent care received among military veterans: A national study of gender differences. Medical Care, 59, S17-S22. doi: 10.1097/MLR.0000000000001455

 

Lauren M Denneson, MS, PHD

Lauren M. Denneson, MS, PhD is a Core investigator with the VA HSR&D Center to Improve Veteran Involvement in Care at the VA Portland Health Care System, Associate Professor of Psychiatry at Oregon Health and Science University's School of Medicine, and a Core investigator with the VA Suicide Prevention Research Impact Network. Dr. Denneson is a social psychologist with training in health promotion and disease prevention. Her research primarily centers on suicide prevention, with special focus areas of patient-centered care and social determinants of health. She also serves as the lead evaluator for the VA Portland Health Care System’s Whole Health transformation, a national VHA initiative that aims to transform VHA into a patient-centered health care system that facilitates patient self-management and empowerment. Dr. Denneson completed her BA in Psychology at the University of Minnesota and her MS and PhD in Applied Social Psychology at Portland State University.

You can contact Lauren Denneson by email at Lauren.Denneson@va.gov.

A Multi-Method Examination of Veteran Crisis Line Emergency Dispatches (Site Principal Investigator)

The goal of this study is to examine the impact of emergency dispatch use among Veterans Crisis Line callers on healthcare utilization and subsequent suicide risk outcomes.
Principal Investigator: Britton
Grant Type: VA HSR&D IIR

Suicide Prevention Trials Database (Principal Investigator)

The goal of this project is to establish a repository of study-level data from all published trials in suicide prevention, using systematic review methods to abstract and harmonize data across studies.
Principal Investigator: Lauren Denneson and Maya O'Neil
Grant ID: VA CSR&D SDR

Spatiotemporal clustering of Veteran suicides in rural Oregon (Principal Investigator)

This project aims to examine the spatiotemporal community factors associated with suicide clusters among Veterans in Oregon and identify methods to expand this work nationally.
Grant ID: ORH-VRHRC-PDX-FY20-3

Advancing Suicide Prevention for Female Veterans (Principal Investigator)

The over-arching goal of this work is to inform gender-tailored suicide prevention approaches, using a large, national sample of female and male Veterans with recent non-fatal suicidal self-directed violence (SSV: fatal and non-fatal suicide attempts). We aim to develop and test explanatory models of female and male risk for a repeat SSV event over 12 months, and identify similarities and differences in patterns of healthcare utilization, coping strategies, and symptom change over time between female and male Veterans at risk for SSV.
Principal Investigator: Lauren Denneson
Grant ID: IIR 17-131

Implementation of a Pragmatic Trial of Whole Health Team vs. Primary Care Group Education to Promote Non-Pharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans (Co-Investigator)

The goal of this UG3/UH3 proposal is to conduct a pragmatic implementation-effectiveness trial in which we will develop, pilot and implement two care delivery approaches for over 600 veterans with moderate to severe chronic pain who will be randomized to receive either: (1) an intensive Whole Health Team (WHT) approach versus (2) a less intensive, usual care Primary Care Group Education (PC-GE).
Principal Investigator: Karen Seal and William Becker
Grant ID: 1UG3AT009765

Suicide Prevention Research Impact NeTwork (SPRINT) (Co-Investigator)

The goals of this consortium are to serve as a collaborative network of VHA and non-VHA researchers, synthesize and report on research in the suicide prevention field, identify and prioritize key gaps in research, facilitate the development of high-quality and high-impact projects, promote growth of the field, and serve as a conduit of information among researchers, operations, and other stakeholders.
Principal Investigator: Steven Dobscha
Grant ID: COR 19-490

Understanding Impact of VHA's New Suicidal Ideation Screening Initiative: Veteran's Perspective (Co-Investigator)

The primary purpose of this 3-year, mixed-methods study is to develop a greater understanding of the impacts of Risk-ID screening processes from the Veterans’ perspective. Information derived from this project will help inform new clinical approaches, and support additional research to improve suicide risk detection, evaluation and clinical response, with the ultimate goal of reducing suicidal self-directed violence (SSV) among Veterans.
Principal Investigator: Steven Dobscha
Grant ID: HSR&D I01 HX002987

Understanding documented clinical decision making and outcomes of high risk for suicide flag inactivation among Veterans with recent suicide attempts (Principal Investigator)

This Small Award Initiative for Impact (SWIFT) project seeks to understand how clinical decisions are made to inactivate high risk for suicide flags after a recent non-fatal suicide attempt and explore patient outcomes following flag inactivation.

Prevention of Firearm Injuries among Rural Veterans in the US (Co-Investigator)

This project focuses on the prevention of firearm injuries among Veterans living in the rural US; in this second phase (Year 2) of the project, we will conduct qualitative research with VA healthcare providers and Veterans from 10 geographically-diverse, primarily-rural VA sites to understand current practices, barriers and facilitators, Veterans’ perspectives, and experiences related to firearm risk-reduction programs.
Principal Investigator: Kathleen Carlson
Grant ID: VRHRC 15528 RH


You can find a full list of publications at PubMed.

  • Hoffmire CA, Monteith LL, Denneson LM, Holliday R, Park CL, Mazure CM, Hoff RA. Sex-stratified analysis of suicidal ideation correlates among deployed Post-9/11 Veterans: Results from the survey of experiences of returning Veterans. Journal of Affective Disorders, 294, 824-830
  • Chen JI, Cameron DC, Laliberte AZ, Hooker ER, Niederhausen M, Denneson LM. Assessment of suicidal intent in self-directed violence and subsequent care received among military veterans: A national study of gender differences. Medical Care, 59, S17-22, 2021
  • Hoffmire CA, Denneson LM, Monteith LL, Dichter ME, Gradus JL, Capelletti MM, Brenner LA, Yano EM. Accelerating Research on Suicide Risk and Prevention in Women Veterans through Research-Operations Partnerships. Medical Care, 59, S11-16, 2021
  • Denneson LM, Tompkins KJ, McDonald K, Britton PC, Hoffmire CA, Smolenski DJ, Carlson KF, Dobscha SK. Gender differences in recovery needs after a suicide attempt: A national qualitative study of US military veterans. Medical Care, 59, 565-69, 2021

 

Samuel Edwards, MD, MPH

Samuel Edwards, MD, MPH is a primary care physician, general internist, and health services researcher at the Portland Veterans Affairs (VA) Health Care System and an Assistant Professor of Medicine at Oregon Health & Science University (OHSU). Dr. Edwards’s research focuses on the role and function of primary care in health systems, with a focus on the care for high needs individuals through Home-Based Primary Care (HBPC). His Career Development Award uses mixed methods to explore what features of HBPC drive its success in reducing hospitalizations for ambulatory care sensitive conditions, and uses these insights to develop an intervention to promote best practices in HBPC.
Dr. Edwards received his medical degree from the Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, received his training in internal medicine at Beth Israel Deaconess Medical Center, and completed fellowship in General Medicine and Primary Care at Harvard Medical School, VA Boston Healthcare System and Brigham and Women’s Hospital.

You can contact Samuel Edwards by email at Samuel Edwards@va.gov.

Optimizing Outcomes in Home-Based Primary Care (HBPC) (Principal Investigator)

This project uses mixed methods to explore what features of HBPC drive its success in reducing hospitalizations for ambulatory care sensitive conditions, and will use these insights to develop an intervention to promote best practices in HBPC.
Grant ID: CDA 16-152

Mixed Methods Evaluation of the RELATE Lab (Co-Principal Investigator)

Principal Investigator: Samuel Edwards and Anais Tuepker
Grant Source: Morris-Singer Foundation


You can find a full list of publications at PubMed.

  • Marino M, Solberg LI, Springer R, McConnell KJ, Lindner S, Ward R, Edwards ST, Cohen DJ, Balasubramanian BA. Cardiovascular disease preventive services among smaller primary care practices Am J Prev Med In Press
  • Gelberg L, Edwards ST, Hooker ER, Niederhausen M, Shaner A, Cowan BJ, Warde CM. Integrating Interprofessional Trainees into a Complex Care Program for Veterans Experiencing Homelessness: Effects on Health Services Utilization. J Gen Intern Med. In Press
  • Hemler JR, Edwards ST, Valenzuela S, Baron A, Hall JD, Perry CK, Balasurbramanian BA, Damschroder L, Solberg LI. The Effects of Major Disruptions on Practice Participation in Facilitation during a Primary Care Quality Improvement Initiative. J Am Board Fam Med. In Press
  • Edwards ST, Marino M, Solberg L, Damschroder L, Stange KC, Kottke T, Springer R, Perry C, Cohen DJ. Cultural and Structural Features of Zero-Burnout Primary Care Practices. Health Aff (Millwood). 2021 Jun;40(6):928-936

 

Robert L. Folmer, PhD

Robert Folmer, Ph.D. is a CIVIC Investigator and Associate Professor of Otolaryngology at Oregon Health & Science University (OHSU). Dr. Folmer is also a Research Investigator at the RR&D National Center for Rehabilitative Auditory Research (NCRAR) at VA Portland. He is Program Manager for a VA Enterprise-Wide Initiative (EWI) called TeleSleep that is funded by the Office of Rural Health (ORH). The goal of the TeleSleep Program, which includes 14 Hub sites and more than 50 Spoke sites nationwide, is to improve the quality of and Veterans’ access to VA Sleep Medicine Services by using advanced telehealth strategies. The group is also conducting a multi-site, HSR&D-funded study that compares the efficacy of different clinical pathways for Veterans who are referred for obstructive sleep apnea (OSA). At OHSU, Dr. Folmer was the Chief of Clinical Services for the Tinnitus Clinic from 1998-2007 and was also part of the team that developed the Dangerous Decibels hearing loss prevention education program. He joined the NCRAR in 2007 and served as Program Manager for a joint VA/Department of Defense Hearing Loss Prevention Initiative. His research interests include transcranial magnetic stimulation (TMS) for treatment of tinnitus, depression and PTSD; electrophysiological assessment of auditory and cognitive processing in patients who experience neurological disorders such as Parkinson’s Disease, multiple sclerosis, or traumatic brain injury. Dr. Folmer’s team is currently conducting clinical trials of 2 different drugs for treatment of chronic tinnitus: etanercept and ketamine.

You can contact Robert Folmer by email at Robert.Folmer@va.gov.

Treatment of Hearing Loss, Hyperacusis and Tinnitus with Tumor Necrosis Factor (TNF) Blocker Etanercept (Study Site Principal Investigator)

This is a multi-site trial examining the therapeutic effects of the medication Etanercept (Enbrel) to alleviate tinnitus. At the VA RR&D NCRAR site, we will conduct a placebo-controlled clinical trial of Etanercept compared to a placebo to determine its effectiveness in reducing the perception or severity of blast-induced or noise-induced tinnitus.
Principal Investigator: Jinsheng Zhang, PhD
Grant Source: DoD CDMRP Clinical Trial Award PR172190

Investigation of the NMDA Antagonist Ketamine as a Treatment for Tinnitus (Co-Investigator)

Principal Investigator: Diana Martinez, MD
Grant Source: DoD CDMRP Clinical Trial Award

Improving Access to Sleep Apnea Care: A Pragmatic Study of New Consultation Models (Co-Investigator)

Principal Investigator: Kathleen Sarmiento, MD
Grant Source: VA HSR&D


You can find a full list of publications at PubMed.

  • Folmer RL, Vachhani J, Riggins A. Electrophysiological Evidence of Auditory and Cognitive Processing Deficits in Parkinson Disease. BioMed Research International, June 2021
  • Folmer RL, Saunders GH, Vachhani J, Margolis R, Saly G, Yueh B, McArdle R, Feth L, Roup C, Feeney MP. Hearing Healthcare Utilization Following Automated Hearing Screening. JAAA, 2021. DOI: 10.1055/s-0041-1723041. Online ahead of print
  • Chang YHA, Folmer RL, Shasha B, Shea JA, Sarmiento KF, Stepnowsky CJ, Lim D, Pack A, Kuna ST. Barriers and Facilitators to Implementation of a Novel Web-based Sleep Apnea Management Platform. Sleep Nov 20:zsaa243. doi: 10.1093/sleep/zsaa243. Online ahead of print
  • Sarmiento KF, Boudreau EA, Smith CJ, Kaul B, Johnson N, Folmer RL. Effects of computer-based documentation procedures on healthcare workload assessment and resource allocation: An example from VA sleep medicine programs. Federal Practitioner 2020;37(8):368-374
  • Folmer RL, Smith CJ, Boudreau EA, Hickock A, Totten AM, Kaul B, Stepnowsky CJ, Whooley MA, Sarmiento KF. Prevalence and Management of Sleep Disorders in the Veterans Health Administration. Sleep Medicine Reviews, 2020 Jul 20;54:101358. doi: 10.1016/j.smrv.2020.101358. Online ahead of print

 

Mark Helfand, MD, MS, MPH

Mark Helfand, MD, MS, MPH is Professor of Medicine at the Oregon Health & Science University. He is board-certified in Internal Medicine and practices hospital medicine at the Portland VA Medical Center. He directs the VA Evidence-Based Synthesis Program Coordinating Center, and the AHRQ Scientific Resource Center for the Effective Health Care Program. He is a founding member of the steering committee of the Health Experiences Research Network, the US branch of Dipex International.

Dr. Helfand has served on the Methodology Committee of the Patient-Centered Outcomes Research Institute since 2011 and was Editor-in-chief of Medical Decision Making from 2005 to 2012. Dr. Helfand received a BA and BS from Stanford University, an MD and MPH from University of Illinois Medical School, and an MS in health services research from Stanford University.

You can contact Mark Helfand by email at Mark.Helfand@va.gov.

Scientific Resource Center III (Investigator)

The Scientific Resource Center (SRC) supports the activities of the Effective Health Care Program in a variety of ways, including scientific and technical support to protect scientific credibility and independence of Effective Health Care Program products; Coordinating peer review for comparative effectiveness reviews and other products; supporting of the work of reviews and other research projects by supplying trusted methods for conducting the research itself and by maintaining the Methods Guide for Conducting Comparative Effectiveness Reviews; and Technical support for topic nomination development and selection processes.
Principal Investigator: Mark Helfand
Grant ID: AHRQ HHSA 29020120004C

Evidence-based Synthesis Program Coordinating Center (Principal Co-Investigator)

The ESPCC was created to expand the capacity of Health Services Research and Development Service (HSR&D) and is charged with oversight of national ESP program operations, program development and evaluation, and dissemination efforts. Specifically, the ESPCC establishes standard operating procedures for the production of evidence synthesis reports; facilitates a national topic nomination, prioritization and selection process; facilitates editorial review processes; ensures methodological consistency and quality of products; produces “rapid response evidence briefs” at the request of VHA senior leadership; collaborates with HSR&D Center for Information Dissemination and Education Resources (CIDER) to develop a national dissemination strategy for all ESP products; and interfaces with stakeholders.
Principal Investigator: Mark Helfand and Katherine Mackey
Grant ID: ESP 09-199

Listening to Gulf War Vets: A qualitative Inquiry into the Health Experience and Treatment of those with Chronic Multisymptom Illness (Principal Investigator)

The first comprehensive qualitative study of the health experiences of Gulf War era veterans will yield significant insight into the features of effective care models and treatments, as well as satisfaction with care. It will also create a rich, ongoing resource that can inform VA’s efforts to improve customer service and care for these veterans, identify better illness-specific health measures and promising therapeutic approaches, and activate veterans to be more engaged with the health system.
Grant ID: SDR 17-151

DIPEx and Implementing a Framework as a Model for Future Research (Multiple PI)

This model and a long-term implementation plan to enhance the impact of HER on the selection, design confuct of HSR&D and RR&D research were incorporated into HSR&D’s overall plan for promoting Veteran engagement, as described in the 2015 report of HSR&D’s Veteran Engagement Work Group (VEWG). Although completing the first DIPEx module on TBI was an essential first step, “success” in implementing the conceptual model will not be achieved until researchers learn to integrate HER into the process of developing, designing, conducting, and disseminating VA research. This project will develop and implement a dissemination framework that can be used as a model for future VA HER modules.
Principal Investigator: Mark Helfand, Erika Cottrell
Grant Type: SWIFT


You can find a full list of publications at PubMed.

  • Arkhipove-Jenkins I, Helfand M, Armstrong C, Gean E, Anderson J, Paynter RA, Mackey K. Antibody Response After SARS-CoV-2 Infection and Implications for Immunity: A Rapid Living Review. Ann Intern Med. 2021 Jun;174(6):811-821. PMID 33721517
  • Veazie S, Peterson K, Ansari Y, Chung KA, Gibbons CH, Raj SR, Helfand M. Fludrocortisone for Orthostatic Hypotension. Cochrane Database Syst Rev. 2021 May;5(5): PMID: 34000076
  • Hassan MH, Chang SM, Fiordalisi CV, Lin JS, Wilt TJ, Tsou AY, Leas B, Siddique S, Zullo A, Balk EM, Rutter CM, Robinson K. Coleman C, Costa O, Helfand M, Stoeger E, Viswanathan M. Improving the utility of evidence synthesis for decisionmakers in the face of insufficient evidence. J Clin Epidemiol 2021 Mar: PMID: 33753229
  • Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM, Atkins D, Methods Work Group, Third U.S. Preventive Services Task Force. REPRINT OF: Current methods of the U.S. preventive services task force: a review of the process. Am J Prev Med 2020 Mar;58(3):316-331 PMID: 32087860

 

Denise Hynes, MPH, PHD, RN

Denise Hynes, MPH, PhD, RN has been a Research Scientist in the US Department of Veterans Affairs since 1991 and joined CIVIC as a Core Investigator in 2018. She is an experienced nurse, health services researcher, and data scientist. Her research focuses on innovative approaches to improve healthcare quality and access. Her service focuses on database and informatics methods to support research and evaluation of healthcare interventions.

She received her Bachelor of Science in Nursing degree from Loyola University of Chicago, Master of Public Health degree from Johns Hopkins University, School of Hygiene and Public Health, and her Doctoral degree (PhD) from the University of North Carolina at Chapel Hill, School of Public Health. She completed postdoctoral training at the Cecil B. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill and at Drexel University through the Hedwig van Ameringen Executive Leadership for Academic Medicine (ELAM) in 2014. She served as tenure track faculty at Duke University, Loyola University Chicago, and the University of Illinois at Chicago. Dr. Hynes also holds an appointment at Oregon State University as Professor in the College of Public Health and Human Sciences and as the Director of the new Health Data & Informatics (HDI) Center in the Center for Genome Research and Biocomputing.
Dr. Hynes serves as a primary mentor to Diana Govier, MPH, PhD, one of CIVIC's post-doctoral fellows.

You can contact Denise Hynes by email at Denise.Hynes@va.gov or hynesd@oregonstate.edu.

Care Coordination and Outcomes for High Risk Patients: Building the Evidence for Implementation (Principal Investigator)

Examine impacts of care coordination services on mortality, health care use, and costs using electronic health record data; prospectively evaluate patient perceptions of care integration and provider perceptions about what is working well.
Grant ID: HX-20-001

Care Coordination and Outcomes in the VA Expanded Choice Program (Principal Investigator)

To partner with the VA Office of Community Care to plan and evaluate the expanded VA Community care program. We are evaluating care coordination processes and quality of care under the expanded Choice; role of health information exchange and quality governance.
Grant ID: In response to HX-18-008

VA COVID-19 Observational Research Collaborative (CORC) (Multiple Principal Investigators)

Evaluate long term outcomes of COVID illness in an observational study emulating a clinical trial and using electronic health records and surveys’ of Veterans who receive VA healthcare.
Principal Investigators: Iaonnou, Iwashyna, Hynes, Boyko, O'Hare, Maciejewski, Bohnert, Bowling
Grant ID:C19-21-278

VA COVID-19 Observational Research Collaborative (CORC) Long-term Outcomes Study (Multiple Principal Investigators)

Evaluate long term outcomes of COVID illness in an observational study emulating a clinical trial and using electronic health records and surveys’ of Veterans who receive VA healthcare.
Principal Investigators: Iaonnou, Iwashyna, Hynes, Boyko, O'Hare, Maciejewski, Bohnert, Bowling
Grant ID: C19-21-279

Veterans Decision-making about VA Community Care Under the Choice Program: Should I Stay or Should I go? (MPI/Co-Principal Investigator)

This research innovation grant supports development of research related to Veterans decision making with the VA community care reorganization due to the Choice and MISSION Act changes.
Principal Investigator: Christopher Slatore / Denise Hynes
Grant ID: VA HSR&D RIVR 19-481

Incorporating Primary VA Data Analysis into Evidence Synthesis Program (ESP) Reviews Pilot (Co-Investigator / Pilot Lead)

This pilot supports 1-2 analyses alongside evidence reviews and development of a framework for operationalizing future add-on analyses, including: the process for determining the scope of the analysis plan including datasets and inclusion/exclusion criteria; the extent to which extant administrative and or research data can be useful; results reporting; and potential for publication of results.
Principal Investigator: Mark Helfand
Grant ID: ESP-09-199

Community Care Utilization among Post 9-11 Veterans with Traumatic Brain Injury (Co-Investigator)

The aims of this research are to: 1) Examine demographics, health characteristics, and healthcare utilization of post-9/11 Veterans with TBI who are, versus are not, using VA Community Care programs; 2) Compare health and functioning between Veterans with TBI who receive VA care exclusively versus those who receive VA-paid Community Care; and 3) Describe processes leading to successful and unsuccessful care coordination between VA, its TBI/PSC, and Community Care providers.
Principal Investigator: Kathleen Carlson
Grant ID: IIR I01 HX003088

Quantifying Disease Burden (Co-Investigator)

Develop methods to quantify disease burden among Veterans using both CDW and National Health Interview Survey (NHIS) data.
Principal Investigator: Yano and Hoggatt
Grant ID: VA HSR&D IIR

Community Care Research Evaluation and Knowledge Center (CREEK) (Multiple PI and Implementation Research Hub co-Lead)

Multi-site research support center to foster collaboration and knowledge diffusion in Community Care research between VA investigators and the VA Office of Community Care (OCC) leadership.
Principal Investigators: Mattocks, Mengeling, Rosen, Vanneman, Hynes
Grant ID: SDR 20-390


You can find a full list of publications at PubMed.

  • Ioannou GN, O’Hare, AM, Bohnert, ASB, Backus, LI, Boyko, EJ, Osborne, TF, Maciejewski, ML, Bowling, CB, Hynes, DM, Iwashyna, T, Saysana, M, Green, P, Berry, K. Changes in the associations of race and rurality with SARS-CoV-2 infection, mortality and case fatality in the United States from February 2020 to March 2021: a population-based cohort study. PLOS Medicine. 2021. In press
  • Hynes DM, Edwards S, Hickok A, Niederhausen M, Weaver FM, Tarlov E, Gordon H, Jacob RL, Bartle B, O'Neill A, Young R, Laliberte A. Veterans' use of Veterans Health Administration primary care in an era of expanding choice. Med Care. 2021 Jun 1;59(Suppl 3):S292-S300. doi: 10.1097/MLR.0000000000001554. PMID: 33976079
  • Mengeling MA, Mattocks KM, Hynes DM, Vanneman ME, Matthews KL, Rosen AK. Partnership Forum: The role of research in the transformation of Veterans affairs community care. Med Care. 2021 Jun 1;59(Suppl 3):S232-S241. doi: 10.1097/MLR.0000000000001488. PMID: 33976072
  • Kaul, B, Hynes, DM, Hickok, A, Smith, C, Niederhausen, M, Whooley, M, Sarmiento, K. Does community outsourcing improve timeliness of care for Veterans with obstructive sleep apnea? Med Care. 2020; Dec 7. doi: 10.1097/MLR.0000000000001472. Epub ahead of print. PMID: 33290324
  • Bui LN, Yoon J, Hynes DM. A Reduction in Health Care Expenditures Linked to Mental Health Service Use Among Adults With Chronic Physical Conditions. Psychiatr Serv. 2021 May 4:appips202000161. doi: 10.1176/appi.ps.202000161. Epub ahead of print. PMID: 33940945


Devan Kansagara, MD, MCR

Devan Kansagara, MD, MCR is Professor of Medicine and Associate Professor of Medical Informatics and Clinical Epidemiology at Oregon Health and Science University. He practices internal medicine in the VA Portland Health Care System. One of his areas of interest is evidence based medicine, and the use of evidence to guide health policy. Dr Kansagara directs the Portland Evidence-based Synthesis Program, one of four sites nationally responsible for developing evidence syntheses to help guide VA policy. He is currently the Vice Chair of the American College of Physicians Clinical Guidelines Committee, and also works on health policy for the Oregon Health Authority. Dr Kansagara's other main area of interest is health systems redesign. In particular, he has done intervention and implementation work with hospital to home care transitions and the patient centered medical home. Dr Kansagara completed his BA in English at Amherst College. He received an MD from the University of Connecticut School of Medicine, and completed residency training at Yale University. He received his Masters in Clinical Research from Oregon Health and Science University.
Dr. Kansagara serves as a primary mentor to Haley Holmer, MPH, PhD, one of CIVIC's post-doctoral fellows.

You can contact Devan Kansagara by email at Devan.Kansagara@va.gov or kansagar@ohsu.edu.

Systematically Testing the Evidence on Marijuana (STEM) (Principal Investigator)

The goal of this project is to develop a continually updated and systematically assessed web resource for information about the health effects of cannabis for providers, patients, and researchers.
Grant ID: ORH-VRHRC-PDX-FY20-7

VA Evidence-based Synthesis Program Data Analysis Alongside Evidence Synthesis Project (Principal Investigator)

The major goals of this project are to conduct demonstration projects and develop novel methods to use analysis of health system data to improve the translation of published evidence to practice.
Grant ID: ESP 05-225

ACP Guideline Review Program (Principal Investigator)

In this project we will conduct systematic reviews that will be used by the ACP to develop clinical guidelines. The first year will focus on management of osteoporosis.
Grant Source: American College of Physicians

Living Systematic Review on Plant-based Treatment for Chronic Pain (Co-Investigator)

The goal of this project is to develop innovative methods for identifying and disseminating up to date information about the use of plant-based treatments such as cannabis for chronic pain.
Principal Investigator: McDonagh
Grant Source: AHRQ


You can find a full list of publications at PubMed.

  • Merlin JS, Althouse A, Feldman R, Arnsten JH, Bulls HW, Liebschutz JM, Nugent SM, Orris SR, Rohac R, Starrels JL, Morasco BJ, Kansagara D. Analysis of State Cannabis Laws and Dispensary Staff Recommendations to Adults Purchasing Medical Cannabis. JAMA Netw Open. 2021 Sep 1;4(9):e2124511. doi: 10.1001/jamanetworkopen.2021.24511. PMID: 34524435; PMCID: PMC8444019
  • Vranas KC, Plinke W, Bourne D, Kansagara D, Lee RY, Kross EK, Slatore CG, Sullivan DR. The influence of POLST on treatment intensity at the end of life: A systematic review. J Am Geriatr Soc. 2021 Sep 22. Epub ahead of print. PMID: 34549418
  • Wyse JJ, Morasco BJ, Dougherty J, Edwards B, Kansagara D, Gordon AJ , Korthuis PT, Tuepker A, Lindner S, Mackey K, Williams B, Herreid-O'Neill A, Paynter R, Lovejoy TI. Adjunct interventions to standard medical management of buprenorphine in outpatient settings: A systematic review of the evidence. Drug Alcohol Depend. 2021 Jul 29;228. PMID: 34508958
  • Qaseem A, Yost J, Etxeandia-Ikobaltzeta I, Forciea MA, Abraham GM, Miller MC, Obley AJ, Humphrey LL, Centor RM, Akl EA, Andrews R, Bledsoe TA, Haeme R, Kansagara DL. What Is the Antibody Response and Role in Conferring Natural Immunity After SARS-CoV-2 Infection? Rapid, Living Practice Points From the American College of Physicians (Version 1). Ann Intern Med. 2021 Jun;174(6):828-835. PMID: 33721518
  • Qaseem A, Yost J, Forciea MA, Jokela JA, Miller MC, Obley A, Humphrey LL; Andrews R, Bledsoe TA, Haeme R, Kansagara DL, Marcucci M. The Development of Living, Rapid Practice Points: Summary of Methods From the Scientific Medical Policy Committee of the American College of Physicians. Ann Intern Med. 2021 Aug;174(8):1126-1132. Epub 2021 May 25. PMID: 34029483

 

Travis Lovejoy, PHD, MPH

Travis Lovejoy, PhD, MPH is a clinical psychologist with specialized training in quantitative methodologies, health psychology, behavioral medicine, and substance use disorders. Dr. Lovejoy’s research interests include the scientific development, testing, and implementation of theory-based clinical and health services interventions that improve individual and population health. He is currently in the 4th year of a 5-year VA HSR&D-funded Career Development Award that examines novel treatment approaches for chronic pain in veterans with co-occurring substance use disorders. Additional VA-funded research examines patient outcomes following discontinuation of long-term opioid therapy. Dr. Lovejoy’s research approaches include large retrospective administrative database studies, prospective cohort studies, clinical and health services efficacy and effectiveness trials, and mixed methods approaches to study the implementation of evidence-based practices. Dr. Lovejoy is the Lead of the CIVIC Implementation Science Core and Executive Committee Member of the Oregon Health & Science University Dissemination & Implementation Research Collaborative.

You can contact Travis Lovejoy by email at Travis.Lovejoy@va.gov.

Collaborative telepain care for rural Veterans (Principal Investigator)

The goal of this pilot intervention trial is to examine the feasibility and acceptability of a nurse care manager-led pain care coordination intervention delivered via telehealth to improve clinical outcomes in patients with co-occurring chronic pain and substance use disorders.
Grant ID: VA ORH, ORH-15531

Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy (Principal Investigator)

The goal of this VA HSR&D career development award is to characterize pain treatment utilization in veterans with co-occurring substance use disorders and develop and test the preliminary effectiveness of a collaborative pain intervention for veterans with chronic pain receiving specialty treatment for alcohol and drug use disorders.
Grant ID: IIR 17-268

NIDA CTN-101: the STOP intervention trial (Site Principal Investigator)

This multisite randomized controlled trial tests the efficacy of a collaborative care intervention to reduce opioid misuse among primary care patients.
Principal Investigator: McNeely and Liebschutz
Grant ID: NIDA CTN-101

Enhancing sexual safety: couples' communication and HIV testing with YMSM (Co-Investigator)

To evaluate dyadic communication and HIV prevention among adolescent men-who-have-sex-with-men (MSM) couples.
Principal Investigator: Tyrel Starks and Sarah Feldstein Ewing
Grant ID: U19HD089875-03S1

Impact of Prescription Opioid Dose Changes on Cannabis Use and Clinical Outcomes (Co-Investigator)

This is a national prospective cohort study examining changes in cannabis use following prescription opioid discontinuation and the impact of these changes on pain and quality of life.
Principal Investigator: Benjamin Morasco
Grant ID: NIH/NIDA R01DA048817


You can find a full list of publications at PubMed.

  • Morasco BJ, Iacocca MO, Lovejoy TI, Dobscha SK, Deyo RA, Cavese JA, Hyde S, Yarborough BJH. Utility of the Pain Medication Questionnaire to predict aberrant urine drug tests: results from a longitudinal cohort study. Psychol Serv. 2021;18:319-327. doi: 10.1037/ser0000471
  • Wyse J, Lovejoy J, Holloway J, Morasco BJ, Dobscha SK, Hagedorn H, Lovejoy TI. Patients’ perceptions of the pathways linking chronic pain with problematic substance use. Pain. 2021;162:787-793. doi: 10.1097/j.pain.0000000000002077
  • Starks TJ, Lovejoy TI, Sauermilch D, Robles G, Stratton MJ, Cain D, Naar S, Feldstein Ewing SW. Developmental barriers to couples’ HIV testing and counseling among adolescent sexual minority males: a dyadic socio-ecological perspective. AIDS Behav. 2021.25:787-797. doi: 10.1007/s10461-020-03044-4
  • Starks TJ, Dellucci TV, Lovejoy TI, Robles G, Jimenez R, Cain D, Naar S, Feldstein Ewing S. Adolescent sexual minority males, relationship functioning, and condomless sex. J Adolescent Health. 2021;68:419-421. doi: 10.1016/j.jadohealth.2020.05.052
  • Priest KC, McCarty D, Lovejoy TI. Expanding access to medications for opioid use disorder: program and policy approaches from outside the Veterans Health Administration. J Gen Intern Med. 2020;35:886-890. doi: 10.1007/s11606-020-06266-3

 

Katherine Mackey, MD, MPP

Kate Mackey, MD, MPP is an Associate Director of the VA Evidence Synthesis Program Coordinating Center, where she works on rapid systematic reviews covering a broad range of topics of interest to VHA patient populations and VA leadership. She is also a primary care doctor at the VA Portland Resident & Faculty Primary Care Clinic and the VA Women's Clinic and runs a dedicated clinic for substance use disorder treatment. Kate is from Washington, DC and has a BA from Georgetown University, Master of Public Policy from Duke University, and MD from the University of Texas in San Antonio. She completed her residency and chief residency at OHSU where she is now an Assistant Professor of Medicine. Her research interests include chronic pain, substance use, and preventive medicine.

You can contact Kate Mackey by email at Katherine.Mackey@va.gov.

Evidence-based Synthesis Program Coordinating Center (Co-Principal Investigator)

Principal Investigator: Mark Helfand, MD and Katherine Mackey, MD, MPP
Grant ID: VA ESP 09-199


You can find a full list of publications at PubMed.

  • Wyse JJ, Herreid-O'Neill A, Dougherty J, Shull S, Mackey K, Priest KC, Englander H, Thoma J, Lovejoy TI. Perioperative Management of Buprenorphine/Naloxone in a Large, National Health Care System: a Retrospective Cohort Study. J Gen Intern Med. 2021 Sep 20. doi: 10.1007/s11606-021-07118-4. Epub ahead of print. PMID: 34545469
  • Wyse JJ, Morasco BJ, Dougherty J, Edwards B, Kansagara D, Gordon AJ, Korthuis PT, Tuepker A, Lindner S, Mackey K, Williams B, Herreid-O'Neill A, Paynter R, Lovejoy TI. Adjunct interventions to standard medical management of buprenorphine in outpatient settings: A systematic review of the evidence. Drug Alcohol Depend. 2021 Jul 29;228:108923. doi: 10.1016/j.drugalcdep.2021.108923. Epub ahead of print. PMID: 34508958
  • Arkhipova-Jenkins I, Helfand M, Armstrong C, Gean E, Anderson J, Paynter RA, Mackey K. Antibody Response After SARS-CoV-2 Infection and Implications for Immunity : A Rapid Living Review. Ann Intern Med. 2021 Mar 16. doi: 10.7326/M20-7547. Epub ahead of print. PMID: 33721517

 

Shannon Nugent PhD
Shannon Nugent PhD

Shannon Nugent, PhD is an investigator at the VA Portland Healthcare System, Center to Improve Veteran Involvement in Care (CIVIC) and an Assistant Professor at Oregon Health and Science University in the Department of Psychiatry. Dr. Nugent is broadly interested in understanding and improving mental health outcomes among individuals with serious medical conditions. Her research interests are in the araes of palliative medicine, psychosocial oncology, chronic pain, evidence synthesis, and improving access to health care for older adults. She is in her third year of a five-year Mentored Research Scholar Grant from the American Cancer Society, "Survivors of Head and Neck Cancer: Optimizing Pain Management." In addition, has received funding from the National Cancer Institute and local HSR&D pilot funding. She is a co-investigator on a VA HSR&D study that aims to qualitatively describe the health experiences of Gulf War Era Veterans. She completed her PhD in Clinical Health Psychology from the University of Colorado Denver in 2015 and completed a two-year health services research fellowship with CIVIC in 2018.

You can contact Shannon Nugent by email at Shannon.Nugent@va.gov.

Listening to Gulf War Era Veterans: A Qualitative Inquiry into the Health Experiences of Veterans with Chronic Multisymptom Illness (Co-Investigator)

Principal Investigator: Mark Helfand
Grant ID: SDR 17-151

Survivors of Head and Neck Cancer: Optimizing Pain Management (Principal Investigator)

The overall goal of this project is to better understand the pain management practices and preferences among survivors of head and neck cancer. This will be achieved through three interrelated studies that will help us understand the unique pain management needs of survivors of head and neck cancer to provide an adapted pain management telehealth intervention.
Grant ID: 132817 MSRG-18-216-01-CPHPS

COVID-19 Observational Research Collaboratory (CORC) (Co-Investigator)

The goal of this multi-site study is to advance and support observational research related to the long-term complications of COVID-19 in Veterans.
Principal Investigator: Ioannou, Iwashyna, Hynes, Boyko, Maciejeski, Bowling, Bohnert, O'Hare

Evidence Synthesis Program Coordinating Center

The ESP synthesizes scientific evidence on important clinical practice topics, and these reports help VHA: 1) develop clinical policies informed by evidence, 2) the implementation of effective services to improve patient outcomes and to support VHA clinical practice guidelines and performance measures, and 3) set the direction for future research to address gaps in clinical knowledge. I am the clinical lead on a Rapid Review for the VA Emergency Medicine State of the Art that is focused on mental health interventions delivered in the Emergency Department.
Principal Investigator: Mark Helfand
Grant ID: ESP 09-199


You can find a full list of publications at PubMed.

  • Kondo K., Morasco BJ, Nugent SM, Ayers C, O’Neil ME, Freeman M, Paynter R, & Kansagara D. (2020). Pharmacotherapy for the treatment of cannabis use disorder: a systematic review. Annals of Internal Medicine, 172(6), pp.398-412.
  • Nugent SM, Meghani S, Rogal S, & Merlin J. (2020) Cannabis use among individuals with cancer: An unresolved and timely issue. Cancer, 126 (9), 1832-1836.
  • Nugent SM, Golden S, Hooker E, Sullivan D, Thomas C, Deffebach M, Sukumar M, Schipper P, Tieu P, Moghanaki D, Wisnivesky J, Samson P, Robinson C, Slatore C. (2020). Longitudinal Health-Related Quality of Life among Individuals Considering Treatment for Stage I Non-Small Cell Lung Cancer. Annals of American Thoracic Society, 17 (8) 988-997.
  • Nugent SM, Freeman M, Ayers CK, Winchell KA, Press A, O’Neil ME, Kansagara D. Gulf War Illness – A Systematic Review of Therapeutic Interventions and Management Strategies. In press, Military Medicine.

 

Maya O'Neil, PHD

Maya O'Neil, PhD is a CIVIC Core Investigator and neuropsychologist at the VA Portland Health Care System (OR Psychologist License #2248). She is also an Associate Professor at Oregon Health and Science University in the Departments of Psychiatry and Medical Informatics and Clinical Epidemiology. She recently completed an AHRQ-supported K Fellowship focused on patient experiences related to PTSD and cognitive functioning. Her current research focuses on assessing and treating cognitive problems in Veterans with PTSD, which was recently funded by the VA through a Career Development Award. She is a neuropsychologist on the Rural Telemental Health clinical team at the Portland VA. She supervises practicum students, interns, and postdoctoral fellows, and assesses and treats patients with PTSD and other commonly comorbid conditions like depression and traumatic brain injury. She is the Principal Investigator of two OHSU projects funded by AHRQ and the National Center for PTSD examining randomized controlled trial data on PTSD interventions. She has also been the Principal Investigator of multiple Systematic Reviews of mental health and traumatic brain injury topics for the VA. Her current research examines how PTSD treatment and cognitive problems interact, and how to best treat the cognitive problems associated with PTSD. In her spare time she bikes, swims, and walks her 4 dogs. 
Dr. O'Neil serves as a secondary mentor to Julie Kahler, PhD, one of CIVIC's post-doctoral fellows.

You can contact Maya O'Neil by email at Maya.Oneil@va.gov.

 

Suicide Prevention Trials Database (Principal Investigator)

The goal of this project is to establish a repository of study-level data from all published trials in suicide prevention, using systematic review methods to abstract and harmonize data across studies.
Principal Investigator: Lauren Denneson and Maya O'Neil
Grant ID: VA CSR&D SDR

FITBIR: Accelerating Synthesis of TBI Research Using Novel Methods (FAST RUN Methods) (Principal Investigator)

Grant ID: DoD CDMRP PT190056

Detecting Neurophysiologic Effects of Cognitive Rehabilitation for Veterans with PTSD (Principal Investigator)

Grant Source: Medical Research Fund

Assessment and Treatment of Cognitive Functioning Deficits in Veterans with PTSD (Principal Investigator)

This grant is a mentored career development award. The studies supported by this grant will assess cognitive functioning among Veterans who receive PTSD treatment, and will pilot test Compensatory Cognitive Training, a cognitive rehabilitation program, for Veterans with PTSD and cognitive problems.
Grant ID: 1 IK2 RX002762-01A1

Pharmacologic and Nonpharmacologic Treatments for PTSD: An Update (Principal Investigator)

This is a systematic data abstraction and database development and update project with the AHRQ EPC program. The project updates the recently created PTSD-Repository, reviews and compiles all RCTs on interventions for PTSD, and abstracts detailed data into the PTSD-Repository database. The PTSD-Repository is managed by the National Center for PTSD, and this project includes work with the NCPTSD to further develop and disseminate the PTSD-Repository and results based on analyses of these data.
Grant ID: AHRQ Systematic Review

Cognitive Rehabilitation for Older Veterans with Mild Cognitive Impairment (MCI) (Co-Investigator)

This multi-site randomized control trial will evaluate the efficacy of a manualized cognitive rehabilitation intervention for older adults with MCI. The intervention was developed by Drs. Huckans and Twamley (MPIs) and is called “Compensatory Cognitive Training (CCT).”
Principal Investigator: Elizabeth W. Twamley
Grant ID: 1I01CX001592-01


You can find a full list of publications at PubMed.

  • Clark, J.M., Mahmood, Z., Jak, A.J., Huckans, M., O’Neil, M.E., Roost, M., Willias, R.M., Turner, A.P., Pagulayan, K.F., Storzback, D. Twamley, E.W. (2021). Neuropsychological Performance and Functional Capacity Following Mild Traumatic Brain Injury in Veterans. (2021). Journal of Head Trauma and Rehabilitation. [In press]
  • Holmer, H.K., Gilbert, T.A., Ashraf, A.J., O’Neil, M.E., Carlson, K.F. Opioid and Sedative-Hypnotic Prescriptions among Post-9/11 Veteran VA Users Nationwide with Traumatic Brain Injury, 2012-2020. Journal of Head Trauma and Rehabilitation. [ePub ahead of print]PubMed PMID: 34489386
  • O’Neil, M. E., Cameron, D. C., Shirley, K., Sano, E., Twamley, E., Williams, R., Turner, A., Pagulayan, K., Roost, M., Jak, A., Storzbach, D., Huckans, M. (2021). Change in learning and memory partially mediates effects of Compensatory Cognitive Training on self-reported cognitive symptoms. Journal of Head Trauma Rehabilitation. doi: 10.1097/HTR.0000000000000662 [Epub ahead of print]
  • O’Neil, M. E., Klyce, D. W., Pogoda, T. K., Cifu, D. X., Eggleston, B. E., Cameron, D. C., Wilde, E. A., Walker, W. C., & Carlson, K. F. (2021). Associations among PTSD and postconcussive symptoms in the long-term impact of military-relevant brain injury consortium-chronic effects of neurotrauma consortium prospective, longitudinal study. Journal of Head Trauma Rehabilitation. doi: 10.1097/HTR.0000000000000665

 

Sarah Ono, PhD

Sarah Ono, PhD, is a cultural anthropologist with extensive ethnographic and qualitative data experience who specializes in the complementarity of interview, observational, and focus group methods in health services research settings. As a core investigator with the VA HSR&D Center to Improve Veteran Involvement in Care at the VA Portland Health Care System, Dr. Ono is a leader in promoting and advancing Veteran engagement in research and collaborates on the VA Women's Health Research Network. As the Operations Director of the Veterans Rural Health Resource Center in Portland, OR (VRHRC-P), a field site for the VHA Office of Rural Health, she currently focuses on improving access to health care for rural Veterans and increasing the engagement of patients and communities in the process of research. An Associate Professor in Psychiatry at Oregon Health & Science University, she collaborates on work in the areas of suicide prevention, cannabis as it relates to pain management, and national strategies for rapid implementation of proven practices.
Dr. Ono serves as a primary mentor for Traben Pleasant, MSc, PhD.

You can contact Sarah Ono by email at Sarah.Ono@va.gov.

VA Veterans Rural Health Resource Center-Portland, OR (VRHRC-P) (Co-Director, Operations/Non-Clinical)

Veterans Rural Health Resource Centers (VRHRCs) support targeted research, developing innovative programs, and identifying new care models. Positioned as national centers the VRHRCs are renewed annually based on individual portfolios.
Principal Investigator: Sarah Ono and Travis Lovejoy
Grant ID: VRHRC-P

Women's Health Research Consortium/Practice-Based Research Network (WHRN) (Co-Investigator)

WHRN supports training (direct, web-based, and cyber-seminars), technical consultations (including pre-submission scientific review, access to a professional network of experts), collaborative research development (through national topical work groups), and dissemination support (cyber-seminars, conferences, journal supplements, training) for a national Consortium of VA investigators.
Principal Investigator: Yano, Frayne, Hamilton
Grant ID: HSR&D SDR 10-012

Impact of Prescription Opioid Dose Changes on Cannabis Use and Clinical Outcomes (Co-Investigator)

This high-impact study will provide novel data characterizing the extent to which cannabis use changes following prescription opioid dose modification, and the impact of these changes on pain, function, substance use status, and quality of life.
Principal Investigator: Benjamin Morasco
Grant ID: NIH R01DA048817

NW Center of Excellence & K12 in Patient Centered Learning Health Systems Science

The aims of this program are to recruit, train, and support 5 scholars at all times to become our nation's leaders and innovators in learning health systems science; prepare scholars to design, implement, and disseminate patient-engaged, evidence-based, real-world research projects to ensure the uptake of research into improvements in health, health decision-making, and health care systems; and convene a cross-systems collaborative to promote cross-institutional scholar interactions, cooperative sharing of curricula, methodological advances, and promote multi-site project opportunities.
Grant ID: AHRQ K12 HS026370
Principal Investigators: Guise and Savitz

Chronic pain management and patient-centered outcomes following discontinuation of long-term opioid therapy (Co-Investigator, Qualitative Consultant)

This prospective cohort study aims to improve our understanding of patients’ experiences with the opioid discontinuation process and post-discontinuation outcomes, both positive and negative.
Principal Investigator: Travis Lovejoy
Grant ID: I01HX002518

Patient Perspectives on Opioid Discontinuation (Co-Investigator)

This study is to improve our understanding of patients’ experiences with the opioid discontinuation process and post-discontinuation outcomes, both positive and negative.
Principal Investigator: Travis Lovejoy
Grant Type: VA HSR&D IIR

You can find a full list of publications at PubMed.

  • Hulen E, Laliberte AZ, Ono SS, Saha S, Edwards S. “Eyes in the Home”: Addressing Social Complexity in Veterans Affairs Home-Based Primary Care. J GEN INTERN MED 36, 894–900 (2021). https://doi.org/10.1007/s11606-020-06356-2
  • Teo AR, Strange W, Bui R, Dobscha SK, Ono SS. Responses to Concerning Posts on Social Media and Their Implications for Suicide Prevention Training for Military Veterans: Qualitative Study. J Med Internet Res 2020;22(10):e22076. doi: 10.2196/22076
  • Chen JI, Ono SS, Johnson, AC, Weistreich TL. Public-Private Partnerships for Veteran Suicide Prevention. Journal of Military and Government Counseling. Accepted: September 2020. [In Press]
  • True G, Facundo R, Urbina C, Sheldon S, Southall JD, Ono SS. (2021) “If You Don’t Name the Dragon, You Can’t Begin to Slay It:” Participatory Action Research to Increase Awareness Around Military-Related Traumatic Brain Injury. Journal of Community Engagement and Scholarship: Vol. 13 : Iss. 4 , Article 3. Available at: https://digitalcommons.northgeorgia.edu/jces/vol13/iss4/3
  • Wyse JJ, Ono SS, Kabat M, True G. Supporting family caregivers of Veterans: Participant perceptions of a federally mandated caregiver support program. Healthcare 8, Issue 3 (2020). https://doi.org/10.1016/j.hjdsi.2020.100441
  • Abraham TH, Ono SS, Moriarty HJ, Winter L, Bender R, Facundo R, True G. Revealing the invisible emotion work of caregivers: A Photovoice exploration of informal care provided by family caregivers for post-9/11 Veterans with traumatic brain injuries. Journal of Head Trauma Rehabilitation. Publish Ahead of Print, July 2020. DOI: 10.1097/HTR.0000000000000589

 

Christopher D Pfeiffer, MD, MHS

Christopher D. Pfeiffer, MD, MHS serves as the Hospital Epidemiologist and Section Chief of Infectious Diseases at the VA Portland Health Care System (VAPORHCS) and Associate Professor of Medicine at the Oregon Health and Science University (OHSU). Dr. Pfeiffer’s areas of interest include healthcare-associated infection, multidrug-resistant organisms (MDROs), hospital epidemiology, and infections in the immunocompromised host. His work is centered around preventing, detecting, and controlling the spread of of multidrug-resistant organisms (MDROs) with a particular focus on carbapenem-resistant Enterobacteriaceae (CRE). He serves as Medical Director for the Drug-Resistant Organism Prevention and Coordinated Regional Epidemiology (DROP-CRE) Network with the Oregon Health Authority (OHA) and is involved in multicenter research collaborations. Most notable is his role as Principal Investigator of a CDC-funded project to implement a novel electronic system to track patients with MDROs such as CRE as they are transferred from VA facility-to-facility across the country. Dr. Pfeiffer is also a co-investigator for the VA HSR&D-funded CREATE projects, a VA CSP study of treatment for recurrent Clostridium Difficile, and a NIH-funded study of clinician decision making.

You can contact Christopher Pfeiffer by email at Christopher.Pfeiffer2@va.gov.

Incorporating Bayesian reasoning into physician testing and treatment decisions (Site Principal Investigator/Co-Investigator)

Major goal: Examine how poor probabilistic reasoning makes physicians underestimate the likelihood of false positive tests and overestimate treatment effects, which leads to over-diagnosis and overtreatment. Interventions will be developed with visual aids.
Principal Investigator: Daniel J Morgan
Grant ID: NIH 1DP2LM012890-01

Optimal Treatment for Recurrent Clostridium Difficile (OpTION) (Site Principal Investigator/Co-Investigator)

Major goal: To determine whether fidaxomicin and vancomycin followed by taper and pulse vancomycin treatment are superior to standard vancomycin treatment for the treatment of recurrent Clostridium difficile infection.
Principal Investigator: Stuart B Johnson and Dale N Gerding
Grant ID: CSP 596

EPIC3: Epidemiology, Immunology and Clinical Characteristics of COVID-19 (Site Co-Principal Investigator/Co-Investigator)

Principal Investigator: Smith and Ross
Grant ID: CSP 2028

CLOVER Study: A Phase 3, Placebo-Controlled, Randomized, Observer-Blinded Study to Evaluate the Efficacy, Safety, and Tolerability of a Clostridium Difficile Vaccine in Adults 50 Years of Age and Older (Site Principal Investigator/Co-Investigator)

Principal Investigator: Pfeiffer
Grant ID: NCT B5091007

VA INTREPID: Investigation of Rifampin to Reduce Pedal Amputations for Osteomyelitis in Diabetics (Co-Investigator)

Principal Investigator: Bessesen
Grant ID: CSP 2001

Fecal Microbiota Transplant to Enhance Response to PD-1 Inhibition in Metastatic Castration Resistant Prostate Cancer (Co-Investigator)

Principal Investigator: Graff
Grant ID: Prostate Cancer Foundation Challenge Award

CDC Epidemiology and Laboratory Capacity Program. Regional Multidrug-Resistant Organism Prevention and Detection; Drug-Resistant Organism Prevention and Coordinated Regional Epidemiology (DROP-CRE) Network (Medical Director)

Major goal: prevent and control the spread of multidrug-resistant organisms (MDROs) and specifically carbapenem-resistant Enterobacteriaceae (CRE) in Oregon.
Grant ID: Oregon Health Authority (OHA) Epidemiology and Laboratory Capacity (ELC) grant #280702

Effect of Expanding (Gloving) Barrier Precautions for Reducing Clostridium dificile Acquisition (and Infection) in VA: The GLORI Study (Site Principal Investigator)

Major goal: The research question is to determine the effectiveness of healthcare workers’ use of universal gloving for all patient care in reducing the acquisition of C. difficile in hospitalized patients compared with current VA recommended care.
Principal Investigator: Safdar
Grant ID: HSR&D HX002666-01

Combating Antimicrobial Resistance through Rapid Implementation of Available Guidelines and Evidence (CARRIAGE) 2.0 (Site Principal Investigator)

The major goal is to take a multi-pronged approach to reducing antimicrobial resistance in VA. One project is to evaluate the implementation of the national Inpatient Pathogen Tracker (renamed VA Bug Alert).
Principal Investigator: Evans
Grant ID: QUERI QUE 20-016

Dissemination and Implementation of a Videoconference Antimicrobial Stewardship Team (VAST)

Major goal: Identify and test effective strategies for implementing the VAST. Determine the influence of the VAST overall, on the care of Veterans with suspected infections, and on antibiotic use at each VAMC.
Principal Investigator: Jump
Grant ID: HSR&D IIR 20-246


You can find a full list of publications at PubMed.

  • Fitzpatrick MA, Suda KJ, Ramanathan S, Wilson G, Poggensee L, Evans M, Jones MM, Pfeiffer CD, Klutts JS, Perencevich E, Rubin M, Evans CT. (in press) Increased carbapenemase testing following implementation of national VA guidelines for carbapenem-resistant Enterobacterales (CRE). Antimicrobial Stewardship & Healthcare Epidemiology
  • Schnell E, Karamooz E, Harriff MJ, Yates JE, Pfeiffer CD, Smith SM.Construction and validation of an ultraviolet germicidal irradiation system using locally available components. PLoS One. 2021 Jul 23;16(7):e0255123. doi:10.1371/journal.pone.0255123. PMID: 34297764; PMCID: PMC8301618
  • Wirth MS, Fitzpatrick MA, Suda KJ, Wilson GM, Ramanathan S, Evans ME, Jones MM, Pfeiffer CD, Evans CT. Carbapenem-resistant Enterobacteriaceae epidemiology in Veterans' Affairs medical centers varies by facility characteristics. Infect Control Hosp Epidemiol. 2021 Jul;42(7):885-889. doi:10.1017/ice.2020.1323. Epub 2020 Dec 11. PMID: 33305715
  • Wilson GM, Suda KJ, Fitzpatrick MA, Bartle B, Pfeiffer CD, Jones M, Rubin MA, Perencevich E, Evans M, Evans CT; QUERI CARRIAGE Program. Risk Factors Associated with Carbapenemase Producing Carbapenem-Resistant Enterobacteriaceae (CP-CRE) Positive Cultures in a Cohort of U.S. Veterans. Clin Infect Dis. 2021 May 11:ciab415. doi: 10.1093/cid/ciab415. Epub ahead of print. PMID: 33973631

 

Somnath Saha, MD, MPH

Somnath Saha, MD, MPH is a CIVIC core investigator and Professor of Medicine and Public Health at the Oregon Health & Science University (OHSU) and Johns Hopkins University. He has maintained a research program focused on health care disparities and patient-provider relationships since completing his HSR&D CDA in 2009. He recently completed a multi-center VA study, "Opening the Black Box of Cultural Competence" (IIR 14-007) and is now conducting a secondary analysis of the data from that study as a HSR&D-funded pilot project, "Applying Novel Analytic Methods to Address the Impact of Race on Patient-Provider Communication" (PPO 20-325). He is a co-investigator on another CIVIC project, "Chronic Pain Management and Patient-centered Outcomes Following Discontinuation of Long-Term Opioid Therapy" (IIR 17-268), led by Dr. Lovejoy. Dr. Saha serves on the Research Committees and Health Equity Commission of the Society of General Internal Medicine (SGIM). He also chairs the review panel on Social Determinants of Health (HS2A) for the HSR&D Scientific Merit Review Board.

You can contact Somnath Saha by email at Somnath.Saha@va.gov or Sahas@ohsu.edu.

Applying Novel Analytic Methods to Address the Impact of Race on Patient-Provider Communication (Principal Investigator)

The objective of this study is to use novel, natural language processing methods to conduct linguistic analysis of previously collected audio recorded primary care encounters, and to compare linguistic style and style matching, by patient race and provider cultural competence.
Grant ID: I21HX003376

Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy (Co-Investigator)

The objective of this study is to characterize patient experiences with the opioid discontinuation process and examine acute, intermediate, and long-term changes in quality of life following discontinuation of long-term opioid therapy.
Principal Investigator: Travis Lovejoy
Grant ID: HSR&D IIR 17-268

Institute for Clinical and Translational Research (ICTR)

This CTSA grant will support clinical and translational research throughout Johns Hopkins. It includes support for education and training of new translational investigators, facilities in which clinical research can take place and infrastructure support of patient recruitment, bioinformatics, biostatistics and translational core centers.
Principal Investigator: Ford
Grant ID: NIH/NCRR UL1TR001079

Improving Decision Making in Lung Cancer: A Low-literacy Conversation Tool (Co-Investigator)

The goals of this study are to refine a personalized conversation tool among patients with lung cancer and clinicians and to conduct a multi-site, stepped wedge cluster randomized controlled trial evaluating the effectiveness of the conversation tool on patient-centered health and shared decision making outcomes among patients making treatment decisions.
Principal Investigator: Donald Sullivan
Grant ID: RSG-20-127-01

You can find a full list of publications at PubMed.

  • Park J, Saha S, Chee B, Taylor J, Beach MC. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021 Jul 1;4(7):e2117052. doi: 10.1001/jamanetworkopen.2021.17052. Online ahead of print. PMID: 34259849
  • Ayers CK, Kondo KK, Williams BE, Kansagara D, Advani SM, Smith M, Young S, Saha S. Disparities in H1N1 vaccination rates: a systematic review and evidence synthesis to inform COVID-19 vaccination efforts. J Gen Intern Med. 2021 Jun;36(6):1734-1745. Epub 2021 Mar 31. PMID: 33791935
  • Beach MC, Saha S, Park J, Taylor J, Drew P, Plank E, Cooper LA, Chee B. Testimonial injustice: linguistic bias in the medical records of Black patients and women. J Gen Intern Med. 2021 Jun;36(6):1708-1714. Epub 2021 Mar 22. PMID: 33754318
  • Phelan SM, Puhl RM, Burgess DJ, Natt N, Mundi M, Miller NE, Saha S, Fischer K, van Ryn M. The role of weight bias and role-modeling in medical students' patient-centered communication with higher weight standardized patients. Patient Educ Couns. 2021 Aug;104(8):1962-1969. Epub 2021 Jan 5. PMID: 33487507
  • Hulen E, Laliberte A, Ono S, Saha S, Edwards ST. "Eyes in the home": addressing social complexity in Veterans Affairs Home-Based Primary Care. J Gen Intern Med. 2021 Apr;36(4):894-900. Epub 2021 Jan 11. PMID: 33432431

 

Alan Teo, MD, MS
Alan Teo, MD, MS

Alan Teo, MD, MS, is a psychiatrist who joined our Center in 2013. Dr. Teo's primary research focus is on the role of social connection and its facets including social support, loneliness, and social isolation - hape and influence influencing mental health outcomes. He is an expert in a form of severe social withdrawal called hikikomori. He has methodologcal expertise in the use of social media in health services research, survey development, secondary data analyses of population-based datasets, and pragmatic trials.

Dr. Teo's federally funded research projects focus harnessing social connection to promote suicide prevention in Veterans. He is leading an evaluation of the feasibility, acceptability, and efficacy of an online gatekeeper training for suicide prevention in Veterans called SAVE, as well as a multisite trial of an adaptation of the Caring Contracts suicide prevention intervention, which is tailored to older Veterans with limited engagement in their VA healthcare. Other projects have focused on use of behavioral nudges and messaging to reduce Veterans' missed appointments. He completed an HSR&D career development award (CDA), which was aimed at engaging Veterans' close social relationships in the treatment of their depression.

Clinically, Dr Teo’s interests include collaborative care and cultural psychiatry. He also enjoys opportunities to provide mentorship to physicians interested in research. Dr. Teo completed training at Stanford University, University of California San Francisco, and the Robert Wood Johnson Foundation Clinical Scholars Program at University of Michigan.

Dr. Teo is also an Associate Professor of Psychiatry for Oregon Health and Sciences University's School of Medicine.

You can contact Alan Teo by email at Alan.Teo@va.gov or teoa@ohsu.edu.

Using Behavioral Economics to Enhance Appointment Reminders and Reduce Missed Visits (Principal Investigator)

The primary objective of this study is to design and evaluate the effect of appointment reminders enhanced by principles of behavioral economics versus standard appointment reminders on no-show rates and other access-related metrics in primary care and mental health clinics.
Grant ID: VA HSR&D IIR

Increasing Help-Seeking Behavior Among Transitioning Veterans At Risk For Suicide With Online Gatekeeper Training: A Pilot Study of PsychArmor S.A.V.E. (Principal Investigator)

The primary goal of this study is to conduct a pilot randomized controlled trial to assess the feasibility and acceptability of a brief online suicide prevention training called PsychArmor S.A.V.E. Participants in this trial will be transitioning veterans and their close supports.
Grant ID: VA HSR&D I21 1I21 HX003259.

Comparative Effectiveness PTSD Trial of Sequenced Pharmacotherapy and Psychotherapy in Primary Care (Site PI)

This project has three main aims: we propose to 1) compare outcomes among patients randomized to initially receive pharmacotherapy or brief psychotherapy, 2) compare outcomes among patients randomized to treatment sequences (i.e., switching and augmenting) for patients not responding to the initial treatment and 3) examine variation in treatment outcomes among different subgroups of patients.
Principal Investigator: John Fortney
Grant ID: PCORI PTSD-2019C1-15636.

Patient-Centered Decision Support for Veterans Making Choices About Where to Get Their Health Care: “Should I Stay or Should I Go?” (Co-Investigator)

The goal of this Research to Impact for Veterans proposal is to increase the ability of patients to make informed decisions that incorporate their individual values and preferences about the potential benefits, harms, and burdens of choosing between direct VA care and community care by creating and testing feasible, readily-implementable decision support tools for Veterans guided by theoretic models of patient-centered communication and shared decision-making.
Principal Investigator: Christopher Slatore
Grant ID: VA HSR&D RIVR

Virtual Yoga for Social Isolation and loneliness in Rural Veterans (Principal Investigator)

This project aims to understand how to expand access to rural Veterans through virtual yoga group classes, while simultaneously evaluating fidelity of the intervention using sensor technology and addressing underlying issues of social isolation and loneliness in the target population.
Grant ID: VHA VRHRC-Portland FY22


You can find a full list of publications at PubMed.

  • Das A, Padala KP, Crawford CG*, Teo AR, Mendez DM, Phillips OA, Wright BC, House S, Padala PR. A Systematic Review of Loneliness and Social Isolation Scales Used in Epidemics and Pandemics. In Press. Psychiatry Research
  • Amendola S, Cerutti R, Presaghi F, Spensieri V, Lucidi C, Silvestri E, Di Giorgio V, Conti F, Martorelli A, Izzi G, Teo AR. Hikikomori, problematic internet use and psychopathology: correlates in non-clinical and clinical samples of young adults in Italy. Giornale Italiano di Psicopatologia. 2021 Mar; 27(2): 106-114; doi: 10.36148/2284-0249-412. Epub 2021 Mar 25
  • Kaveladze B*, Diamond Altman A, Niederhausen M, Loftis JM, Teo AR. Social relationship quality, depression and inflammation: A cross-cultural longitudinal study in the United States and Tokyo, Japan. Int J Soc Psychiatry. 2020 Dec 18; Online ahead of Print. doi: 10.1177/0020764020981604. PMID: 33334208
  • Teo AR, Strange W, Bui R*, Dobscha SK, Ono SS. Responses to Concerning Posts on Social Media and Their Implications for Suicide Prevention Training for Military Veterans: Qualitative Study. J Med Internet Res. 2020 Oct, 22(10): e22076. doi: 10.2196/22076. PMID: 33124990
  • Teo AR, Metcalf EE, Strange W, Call AA, Tuepker A, Dobscha SK, Kaboli P. Enhancing Usability of Appointment Reminders: Qualitative Interviews of Patients Receiving Care in the Veterans Health Administration. J Gen Intern Med. 2021 Jan; 36(1): 121-128. doi: 10.1007/s11606-020-06183-5. Epub 2020 Sep 9. PMID: 32909229

 

Anais Tuepker, PhD, MPH

Anaїs Tuepker, PhD, MPH, is a sociologist and health services researcher whose work investigates the diverse impacts of relational, team-based models of primary care on the well-being of health care workers, patients, and communities. She led a VA Partnered Evaluation Initiative to evaluate interprofessional clinical educational efforts within the VA's Centers of Excellence for Primary Care Education, and currently is one of four PIs on a national evaluate of iNET, VA's employee innovation training and support network. She is Co-Director of Research with RELATE Lab (Research in Equity, Leadership, And Team Effectiveness) at Oregon Health and Science University, where she contributes to studies on relational leadership, cross-sector alignment, and the use of community organizing tools within healthcare. She is currently the Principal Investigator for a qualitative study examining therapeutic horticulture programs and their potential benefits for Oregon Veterans in both urban and rural settings. Her interest in dismantling barriers to care has led to her role as co-investigator on studies examining topics including how to improve care for women Veterans experiencing Intimate Partner Violence, the impact of supportive housing for Veterans experiencing homelessness, and the role of race in patient-provider communication. Her work often utilizes realist, action-oriented, and/or participatory approaches to engage health system workers and patients in co-creating knowledge for health system redesign. As the Qualitative Core Director for CIVIC, she helps support CIVIC fellows and investigators to integrate qualitative approaches into their work.

You can contact Anaїs Tuepker by email at Anais.Tuepker@va.gov.

Digging Deeper: Understanding Veteran and Community Partner Perspectives on Agricultural Approaches to Connection and Purpose (Principal Investigator)

This qualitative project will look at critical factors influencing implementation of VA-community partnerships to promote farming as a path to Veteran well-being.
Grant ID: VA ORH (0160ORH)

Mixed Methods Evaluation of the RELATE Lab (Co-Director of Research

Oversight of a comprehensive research and evaluation program to improve relational capacity in health care settings. Interventions include in person relational leadership training, building and fostering online communities, and narrative multimedia outreach.
Principal Investigator: Park
Grant Source: Morris Singer Foundation

Teachable Moment to Opt-Out of Tobacco (TeaM OUT): A Stepped Wedge Cluster Randomized Trial (Co-Investigator)

The design and evaluation of a smoking cessation intervention using interactive voice response (IVR) technology to connect smokers to existing cessation services.
Principal Investigator: Christopher Slatore
Grant ID: VA HSR&D IIR

Extending the Safety Net: Reaching Veterans at High Risk for Suicide who Disengaged from Care (Co-Investigator)

Principal Investigator: Jason Chen
Grant ID: HSR&D SPRINT

Care Coordination and Outcomes for High Risk Patients: Building the Evidence for Implementation (Co-Investigator)

This multiple methods study will use administrative data analysis, focus group and key informant interviews to investigate impacts of current and planned innovations in VHA care coordination processes and outcomes for high risk, high need patients.
Principal Investigator: Denise Hynes
Grant ID: IIR 20-165-3

COVID-19 Observational Research Collaboratory (CORC) Coordinating Center - Long Term Outcomes (Co-Investigator)

This project will analyze VA administrative data, as well as survey and interview data from Veterans with long-term COVID, to develop new knowledge about health and healthcare utilization outcomes resulting from the COVID pandemic.
Principal Investigators: Iwashyna, Hynes, Bowling, O'Hare, Bohnert
Grant ID: C19 21-279


You can find a full list of publications at PubMed.

  • Dichter M, Ogden S, Tuepker A, True GE. Survivors’ input on healthcare-connected services for intimate partner violence. Journal of Women’s Health 2021: https://doi.org/10.1089/jwh.2020.8585.
  • Vashi A, Orvek E, Tuepker A, Jackson GL, Marshall N, Newell S, White L, Gurewich D, Lindquist J, White BS, Cole B, Amrhein A, Asch S, Gifford A, Smigelsky M, Cutrona SL. The VA Innovators Network: Design, Methods and Lessons learned through an Embedded Research Approach. Healthcare 2021: https://doi.org/10.1016/j.hjdsi.2020.100477
  • Teo AR, Metcalf EE, Strange W, Call AA, Tuepker A, Dobscha SK, Kaboli PJ. Enhancing usability of appointment reminders: qualitative interviews of patients receiving care in the Veterans Health Administration. J Gen Intern Med 2021: 36 (1), 121 – 128. DOI: 10.1007/s11606-020-06183-5
  • Zaugg TL, Thielman EJ, Carlson KF, Tuepker A, Elnitsky C, Drummond KL, Schmidt CJ, Newell S, Kaelin C, Choma C, Henry JA. Factors affecting the provision of evidence-based Progressive Tinnitus Management in Department of Veterans Affairs medical centers. PLoS ONE 2020 14(12): e0242007. https://doi.org/10.1371/journal.pone.0242007

 

Kelly C. Vranas, MD, is an Assistant Professor in the Division of Pulmonary and Critical Care at Oregon Health & Science University, a Staff Physician at the Portland VA Medical Center, and a Core Investigator at CIVIC. She received her M.D. from Cornell University and completed residency in Internal Medicine at the University of Pennsylvania. As part of her Pulmonary and Critical Care fellowship training at Stanford University, she spent a year as a research fellow at the Clinical Excellence Research Center, the first university-based research center exclusively dedicated to discovering, testing, and evaluating cost-saving innovations in healthcare while simultaneously improving the quality and experience of care. She is now a critical care health services researcher at CIVIC focused on improving the quality, efficiency, and value of critical care for Veterans hospitalized with acute respiratory failure through innovations in the care delivery process. Other ongoing projects include studying the influence of the COVID-19 pandemic on ICU clinicians experiences as frontline healthcare workers, and the impact of type and timing hospital emergency responses to the COVID-19 pandemic on patient outcomes. Dr. Vranas serves as a secondary mentor to HSR&D fellow Liana Schweiger.

You can contact Kelly Vranas by email at kelly.vranas@va.gov.

Optimizing Critical Care for Patients with Acute Respiratory Failure: A Mixed-Methods Study (Principal Investigator)

The goal of this study is to quantify the influence of ICU bed supply on ICU demand and identify modifiable organizational factors and processes of care associated with high value care of patients hospitalized with acute respiratory failure.
Grant ID: HSR&D CDA-2

Long Term Outcomes of COVID-19 on Veterans: A Qualitative Study (Co-Investigator)

The goal of this study is to elicit Veteran experiences of COVID-19 recovery through inductive qualitative analysis of semi-structured interviews in purposively sampled Veterans and their care givers. This Aim is part of a larger mixed-method study performed in collaboration with the VA Ann Arbor and VA Puget Sound to advance our understanding of the consequences and care of COVID-19 infection by developing and releasing integrated and multi-modal data and results on long-term outcomes of COVID-19 for use by VA clinical, research, and operations communities.
Grant Source: COVID-19 Observational Research Collaboratory (CORC) Coordinating Center

COVID-19 Observational (CORAL) Study by the PETAL Network (Co-Investigator)

The goal of this ongoing study is to perform a mixed methods evaluation of post-COVID care delivery and gaps in care thorugh surveys and interviews of hospital providers, patients, and care givers. Results from this study will help guide process improvements and provide context for the rapid development of interventions and care coordination across multiple settings.
Grant Source: American Lung Association

Remote and Equitable Access to COVID-19 Healthcare Delivery (Principal Investigator)

The major goal of this study is to use mixed methods, including hospital-level surveys and interviews of healthcare workers, to evaluate gaps in care for patients following hospitalization for COVID-19. We will also qualitatively assess COVID-19 survivors and their caregivers at 6 and 12 months following hospitalization to explore adaptations and barriers to COVID recovery.
Grant ID: GPULM0333A


You can find a full list of publications at PubMed.

  • Peltan ID, Caldwell E, Admon AJ, et al. Characteristics and Outcomes Among U.S. Hospitalized Patients with COVID-19: A Retrospective Cohort Study. American Journal of Critical Care
  • Vranas KC, Plinke W, Bourne D, Kansagara D, Lee RY, Kross EK, Slatore CG, Sullivan DR. The Influence POLST on Treatment Intensity and Goal-Concordant Care at the End of Life: A Systematic Review. Journal of the American Geriatric Society 2021
  • Vranas KC, Golden SE, Mathews KS, et al. The Influence of the COVID-19 Pandemic on ICU Organization, Care Processes, and Frontline Clinician Experiences: A Qualitative Study CHEST 2021
  • Kerlin MP, Costa DK, Davis BS, Admon AJ, Vranas KC, Kahn JM. Actions taken by U.S. Hospitals to Prepare for Increased Demand for Intensive Care During the First Wave of COVID-19: A National Survey. CHEST 2021

Jessica Wyse, PhD

Jessica JB Wyse, PhD MPP is a Research Assistant Professor in the OHSU-PSU School of Public Health and a Core Investigator with CIVIC. She received a doctorate in Sociology and Public Policy from the University of Michigan, Ann Arbor, and then completed a postdoctoral fellowship at the Institute for Social Research, University of Michigan. She began at CIVIC as an HSR&D postdoctoral fellow in 2016. Dr. Wyse’s research addresses the treatment of substance use disorders among vulnerable populations. She is interested both in the system-level changes needed to promote effective care delivery and access, as well as patients’ experiences of this care. Another line of research focuses on incarceration and the criminal justice system, and implications of these systems for health and wellbeing. Her VA Career Development Award focuses on expanding access to opioid use disorder treatment for Veterans in rural, primary care settings.

You can contact Jessica Wyse by email at Jessica.Wyse@va.gov.

Expanding Access to Opioid Use Disorder Treatment with Buprenorphine in Rural Primary Care Settings (Principal Investigator)

This is a training grant that will build expertise in implementation science and partnered research in service to improving the treatment of substance use disorders among vulnerable Veterans. Research Aims will investigate the availability and successful delivery of buprenorphine for rural Veterans diagnosed with opioid use disorder, and design and deploy an implementation strategy to facilitate the integration of buprenorphine in rural VA settings.
Grant ID: VA CDA HX003007-01A1


You can find a full list of publications at PubMed.

  • Wyse J, Lovejoy J, Holloway J, Morasco, B, Dobscha, S, Lovejoy T. Patients’ Perceptions of the Pathways Linking Chronic Pain with Problematic Substance Use. PAIN. 2021; 162, 3. https://doi.org/10.1097/j.pain.0000000000002077
  • Wyse JJ, McGinnis KA, Edelman EJ, Gordon AJ, Manhapra A, Fiellin DA, Moore BA, Korthuis PT, Kennedy AJ, Oldfield BJ, Gaither JR. Twelve-Month Retention in Opioid Agonist Treatment for Opioid Use Disorder Among Patients With and Without HIV. AIDS and Behavior. 2021 Sep 8:1-1
  • Wyse JJ, Morasco BJ, Dougherty J, Edwards B, Kansagara D, Gordon A, Korthuis PT, Tuepker A, Lindner S, Mackey K, Williams B. Adjunct interventions to standard medical management of buprenorphine in outpatient settings: A systematic review of the evidence. Drug and Alcohol Dependence. 2021 Jul 29:108923
  • Wyse JJ, Herreid-O’Neill A, Dougherty J, Shull S, Mackey K, Priest KC, Englander H, Thoma J, Lovejoy TI. Perioperative Management of Buprenorphine/Naloxone in a Large, National Health Care System: a Retrospective Cohort Study. Journal of general internal medicine. 2021 Sep 20:1-7
  • Wyse, J, Simmons, A, Ramachandran, B, Dobscha, S, Morasco B.J. Concise Research Report: “I don’t mind doing what it takes to be safe.” Patient Perspectives of Urine Drug Testing for Pain. Accepted in Journal of General Internal Medicine. 2020. doi.org/10.1007/s11606-020-05688-3
  • Mastarone, G, Wyse J, Wilbur, E, Morasco, B, Saha, S, Carlson, K. Barriers to Utilization of Prescription Drug Monitoring Programs Among Prescribing Physicians and Advanced Practice Registered Nurses at Veterans Health Facilities in Oregon. Accepted in Pain Medicine. 2019. doi.org/10.1093/pm/pnz289